Organization
NORTH CAROLINA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #06988
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11000 CREEDMOOR RD, RALEIGH, NC 27614-9205
(919) 847-7786
Mailing address
1 CVS DR, P.O.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
—
0920256 RX
—
NC
01
—
3410886
NCPDP
NC
05
—
7704944 DME
—
NC
Enumeration date
05/14/2008
Last updated
07/16/2013
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