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General NPI Number Information
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NPI Number | 1659722080
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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 | 06/27/2016
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Last Update Date | 06/27/2016
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Provider Practice Location Address
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Address Line | 3001 FAYETTEVILLE RD
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City | LUMBERTON
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State | NC
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Zip | 28358-2781
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Country | US
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Telephone | 910-739-7511
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Fax | 910-671-0491
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Provider Business Mailing Address
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Address Line | 3001 FAYETTEVILLE RD
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City | LUMBERTON
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State | NC
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Zip | 28358-2781
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Country | US
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Telephone | 910-739-7511
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Fax | 910-671-0491
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DOLY SIMIT PATEL
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Credential |
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Telephone | 910-739-7511
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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 | 25789
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License Number State | NC
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