Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 04183
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2001 SPARTANBURG HWY, HENDERSONVILLE, NC 28792-5504
(828) 693-7244
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
—
0455801
—
NC
01
—
3408970
NCPDP
NC
05
—
7704712
—
NC
Enumeration date
08/16/2007
Last updated
07/02/2013
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