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Contact Information

NORTH CAROLINA CVS PHARMACY LLC
11430 N. TYRON ST
CHARLOTTE, NC28262
 Phone: 704-717-3276
 Fax: 401-770-7108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for NORTH CAROLINA CVS PHARMACY LLC

NPI # 1295852606
LBN Legal business name NORTH CAROLINA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 07/16/2013 - About 13 years ago
Identifiers
NC Medicaid 0602110
NC Medicaid 7704690
NC Other 3407877 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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