Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #17162
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2901 W HIGHWAY 74, MONROE, NC 28110-8435
(704) 282-1445
(704) 290-1035
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
09165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905563
—
NC
01
—
2065211
PK
—
Enumeration date
07/24/2006
Last updated
11/10/2016
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