DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTH CAROLINA CVS PHARMACY LLC

MEDICARE: SOUTH CAROLINA CVS PHARMACY LLC
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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy50004359SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14207658OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942303714
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH CAROLINA CVS PHARMACY LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 4400 DORCHESTER RD UNIT 13
Second Line :
City : CHARLESTON
State : SC
Zip : 29405-6849
Country : US
Telephone Number : 843-554-6193
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/07/2006
Last Update Date : 01/31/2021

Similar Medicare Providers

1427011089 — DR. ROLAND I SAAVEDRA MD
Practice Location Address:
4400 DORCHESTER RD STE 117
CHARLESTON, SC
29405-6849
Practice Phone: 843-278-8291
Practice Fax:
1952681702 — DR. ASHLEE ROSE FRANKLIN D.D.S.
Practice Location Address:
4400 DORCHESTER RD
NORTH CHARLESTON, SC
29405-6849
Practice Phone: 843-790-0626
Practice Fax:
1215291067 — MS. GRETCHEN ANNE OVERSTOLZ FNP
Practice Location Address:
4400 DORCHESTER RD
NORTH CHARLESTON, SC
29405-6849
Practice Phone: 843-278-8291
Practice Fax:
1346598158 — SUSAN HITESH PATEL
Practice Location Address:
4400 DORCHESTER RD
NORTH CHARLESTON, SC
29405-6849
Practice Phone: 843-554-6193
Practice Fax:
1578811394 — JAMES SCOTT CAMP RPH
Practice Location Address:
4400 DORCHESTER RD
NORTH CHARLESTON, SC
29405-6849
Practice Phone: 843-554-6193
Practice Fax:
1760820468 — ANDREW M FERRILLO RPH
Practice Location Address:
4400 DORCHESTER RD
NORTH CHARLESTON, SC
29405-6849
Practice Phone: 843-554-6193
Practice Fax: 843-554-3594

Directions to “SOUTH CAROLINA CVS PHARMACY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.