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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 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 Number 1558593822
LBN Legal business name NORTH CAROLINA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, MANAGED CARE ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2009
Last updated 08/13/2013 - About 13 years ago
Identifiers
NC Medicaid 0366423
SC Medicaid 1558593822
NC Other 7705083 MEDICAID DME
NC Other 3416268 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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