Provider Information for 1972795623
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NORTH CAROLINA CVS PHARMACY LLC
Other Names:Doing Business As:CVS PHARMACY # 04183Organization Subpart: NO
NPI: 1972795623
Last Updated: 2013-07-02
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Details
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NPI | 1972795623 | ||||||||||||||||
Enumeration Date | 2007-08-16 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SUSAN F COLBERT Title: Director, Payer Relations Phone: 4017702751 | ||||||||||||||||
Mailing Address | 1 CVS DR BOX 1075-PHARMACY ENROLLMENTS WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax:401-770-7108 | ||||||||||||||||
Primary Practice Address | 2001 SPARTANBURG HWY HENDERSONVILLE, NC 28792-5504 United States Phone: 828-693-7244 | Fax: | ||||||||||||||||
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