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General NPI Number Information
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NPI Number | 1447636766
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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 | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 1941 N MAIN ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483-7820
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Country | US
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Telephone | 843-875-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 617 HAINSWORTH DR
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City | CHARLESTON
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State | SC
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Zip | 29414-9093
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STAFF PHARMACIST
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Name | WILLIAM WIER
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Credential |
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Telephone | 843-810-6247
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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 | 36200
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License Number State | SC
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