Organization · NPI-2
North Carolina Cvs Pharmacy LLC
Pharmacy · Fletcher, NC
NPI number1053414813
StatusActive
Last updated in NPPESJun 3, 2011
Details
- NPI
- 1053414813
- Entity type
- Organization (NPI-2)
- Legal business name
- North Carolina Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Jun 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 6540 | NC | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #04197 (Doing Business As)
Practice location
3450 Hendersonville RdFletcher, NC 28732-8234
Phone 828-684-2331
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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