Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 10682
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3001 HILLSBOROUGH ST, SUITE 100, RALEIGH, NC 27607-5434
(919) 839-6393
Mailing address
1 CVS DRIVE, 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
—
3465348
NCPDP
NC
Enumeration date
08/28/2015
Last updated
02/04/2016
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