Organization
NORTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #10574
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
4908 HOUSTON FIELD COURT, CHARLOTTE, NC 28277
(704) 814-0212
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
333600000X
Pharmacy
Primary
—
NC
3336C0003X
Community/Retail Pharmacy
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3466403
NCPDP
NC
Enumeration date
06/03/2016
Last updated
12/06/2016
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