Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #07354
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
600 SOUTH MAIN ST, KING, NC 27021
(336) 983-0266
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
6695
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3423489
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754583
MEDICARE RR
—
Enumeration date
12/06/2006
Last updated
07/25/2013
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