Organization
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #02331
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
718 MILLS AVE, GREENVILLE, SC 29605-4223
(864) 421-1586
Mailing address
1 CVS DR, PO 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
10823
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426512-RX
—
NC
01
—
4221569
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
521133114A
—
GA
Enumeration date
09/12/2006
Last updated
02/08/2012
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