Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #06402
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
127 S MAIN ST, BOX 279, DAVIDSON, NC 28036-8096
(704) 892-7211
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
6599
NC
333600000X
Pharmacy
Primary
6599
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607606
—
NC
Enumeration date
01/16/2007
Last updated
10/07/2011
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