Provider Information for 1700989480
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SOUTH CAROLINA CVS PHARMACY LLC
Other Names:Doing Business As:CVS PHARMACY #07333Organization Subpart: NO
NPI: 1700989480
Last Updated: 2017-03-27
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Details
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NPI | 1700989480 | ||||||||||||||||
Enumeration Date | 2006-09-07 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SUSAN COLBERT Title: Director, Payer Relations Phone: 4017702751 | ||||||||||||||||
Mailing Address | 1 CVS DR BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax: | ||||||||||||||||
Primary Practice Address | 85 MATHEWS DRIVE HILTON HEAD, SC 29926 United States Phone: 843-681-8363 | Fax: | ||||||||||||||||
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