National Provider Identifier Database

NORTH CAROLINA CVS PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

NORTH CAROLINA CVS PHARMACY LLC
3658 SOUTH NEW HOPE RD
GASTONIA, NC28056
Phone: 704-823-1838
Fax: 704-823-1839
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for NORTH CAROLINA CVS PHARMACY LLC

NPI Number 1558593822
Legal business name
LBN
NORTH CAROLINA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, MANAGED CARE ADMIN)
Entity Organization
Organization subpart No
Enumeration date 08/19/2009
Last updated 08/13/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 0366423
  • SC Medicaid: 1558593822
  • NC Other: 7705083 MEDICAID DME
  • NC Other: 3416268 NCPDP #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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