Organization
CVS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CANDORA (REGIONAL ADMINISTRATIVE CONTACT)
(919) 981-6253
Entity
Organization
Contact information
Practice address
704 S MEMORIAL DR, GREENVILLE, NC 27834-3738
(252) 758-4104
Mailing address
704 S MEMORIAL DR, GREENVILLE, NC 27834-3738
(252) 758-4104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745604
—
NC
Enumeration date
08/15/2016
Last updated
08/15/2016
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