Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE JOHN MAIOLO (STAFF PHARMACIST)
(843) 236-6300
Entity
Organization
Contact information
Practice address
101 FETLOCK DR, MYRTLE BEACH, SC 28588
(843) 236-6300
(843) 236-6335
Mailing address
101 FETLOCK DR, MYRTLE BEACH, SC 28588
(843) 236-6300
(843) 236-6335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12794
SC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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