Organization
CVS CAREMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DONJON (SUPERVISOR)
(843) 626-3951
Entity
Organization
Contact information
Practice address
4401 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5254
(843) 272-8884
Mailing address
4401 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5254
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
36537
SC
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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