Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY HOOPER (PHARMACIST)
(803) 957-0605
Entity
Organization
Contact information
Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0605
Mailing address
118 BELTREES DR, LEXINGTON, SC 29072-2070
(864) 934-1569
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12606
SC
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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