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NPI Code Detail

MEDICARE: CVS PHARMACY

MEDICARE: CVS PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist08780NC

General Provider Information

NPI Number : 1275066805
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY
Provider Business Mailing Address
First Line : 1615 SPRING GARDEN ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2334
Country : US
Telephone Number : 336-379-1649
Fax Number : 336-691-1239
Provider Business Practice Location Address
First Line : 1615 SPRING GARDEN ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2334
Country : US
Telephone Number : 336-379-1649
Fax Number : 336-691-1239
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : PHILLIP AVERITT
Credential :
Telephone Number : 336-379-1649
Provider Enumeration Date : 04/10/2017
Last Update Date : 04/10/2017

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Directions to “CVS PHARMACY ” Practice Location

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