Organization
NORTH CAROLINA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #02754
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, MANAGED CARE ADMIN)
(401) 770-2751
Entity
Organization
Contact information
Practice address
10170 GREEN LEVEL CHURCH RD, CARY, NC 27519
(919) 467-0211
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
—
0920248 RX
—
NC
01
—
3410999
NCPDP
NC
05
—
7704941 DME
—
NC
Enumeration date
06/06/2008
Last updated
05/15/2013
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