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General NPI Number Information
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NPI Number | 1144659111
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Entity Type | Organization
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Legal Business Name | CVS PHARMACY
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Dates
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Enumeration Date | 11/10/2013
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Last Update Date | 11/10/2013
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Provider Practice Location Address
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Address Line | 904 S FIFTH ST
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City | MEBANE
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State | NC
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Zip | 27302-3239
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Country | US
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Telephone | 919-563-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 904 S FIFTH ST
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City | MEBANE
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State | NC
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Zip | 27302-3239
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Country | US
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Telephone | 919-563-8855
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Fax |
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Authorized Official
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Title or Position | PHARMACY SUPERVISOR
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Name | MRS. AMIE MILLER
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Credential |
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Telephone | 843-609-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 23825
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License Number State | NC
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