Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 01395
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5111 WAKE FOREST RD., DURHAM, NC 27703
(919) 957-4512
Mailing address
1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326744 RX
—
NC
01
—
3411903
NCPDP
NC
05
—
7704978 DME
—
NC
Enumeration date
08/25/2008
Last updated
05/17/2013
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