Organization
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 00563
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1515 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8208
(843) 821-2629
Mailing address
1 CVS DR, BOX-1075 PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/19/2009
Last updated
02/08/2012
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