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General NPI Number Information
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NPI Number | 1306370291
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Entity Type | Organization
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Legal Business Name | CVS PHARMACY INC
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 903 E 4TH AVE
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City | RED SPRINGS
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State | NC
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Zip | 28377-1641
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Country | US
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Telephone | 910-843-3459
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Fax | 910-843-1545
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Provider Business Mailing Address
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Address Line | 1226 W CARTHAGE RD
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City | LUMBERTON
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State | NC
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Zip | 28360-7097
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Country | US
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Telephone | 910-733-0088
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JESSICA PARKER
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Credential |
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Telephone | 910-843-3459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26641
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License Number State | NC
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