Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 10157
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1025 NC 24-87, CAMERON, NC 28326-6954
(910) 960-0250
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
333600000X
Pharmacy
Primary
—
NC
3336C0003X
Community/Retail Pharmacy
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435637
—
NC
01
—
3460677
NCPDP
NC
Enumeration date
12/06/2012
Last updated
08/08/2013
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