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General NPI Number Information
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NPI Number | 1619385879
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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 | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 6310 BURLINGTON RD
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City | WHITSETT
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State | NC
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Zip | 27377-9233
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Country | US
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Telephone | 336-437-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 BURLINGTON RD
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City | WHITSETT
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State | NC
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Zip | 27377-9233
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Country | US
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Telephone | 336-437-6412
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. TRISTIN NICHOLE PATTERSON
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Credential | PHARM. D.
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Telephone | 336-437-6412
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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 | 24173
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License Number State | NC
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