Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #01643
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2002 SHILOAH CHURCH RD, DAVIDSON, NC 28036
(704) 439-3461
Mailing address
2002 SHILOAH CHURCH RD, DAVIDSON, NC 28036
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
09414
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3407233
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/23/2006
Last updated
05/17/2013
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