Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MOUSTAFA (PHARMACIST)
(917) 485-0799
Entity
Organization
Contact information
Practice address
855 HANES MALL BLVD, WINSTON SALEM, NC 27103-5526
(336) 768-2888
Mailing address
855 HANES MALL BLVD, WINSTON SALEM, NC 27103-5526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24259
NC
183500000X
Pharmacist
28RI03711700
NJ
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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