Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PAGANO (PHARMACIST)
(607) 345-4393
Entity
Organization
Contact information
Practice address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
(704) 547-9739
Mailing address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26348
NC
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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