Provider Information for 1790888550
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NORTH CAROLINA CVS PHARMACY LLC
Other Names:Doing Business As:CVS PHARMACY #03524Organization Subpart: NO
NPI: 1790888550
Last Updated: 2023-01-12
Certification Date: 2023-01-12
Certification Date: 2023-01-12
Details
| Name | Value | ||||||||||||||||
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| NPI | 1790888550 | ||||||||||||||||
| Enumeration Date | 2006-09-07 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: SUSAN F COLBERT Title: Exec Dir, Rx Services Phone: 4017702751 | ||||||||||||||||
| Mailing Address | 1 CVS DR BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax: | ||||||||||||||||
| Primary Practice Address | 215 N CENTER ST STATESVILLE, NC 28677-5235 United States Phone: 704-872-6591 | Fax: | ||||||||||||||||
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