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NPI Code Detail

MEDICARE: CVS

MEDICARE: CVS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy25571NC

General Provider Information

NPI Number : 1578937959
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS
Provider Business Mailing Address
First Line : 605 N MAIN ST
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2026
Country : US
Telephone Number : 919-552-8299
Fax Number : 919-567-0015
Provider Business Practice Location Address
First Line : 605 N MAIN ST
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2026
Country : US
Telephone Number : 919-552-8299
Fax Number : 919-567-0015
Authorized Official
Title or Position : PHARMACY MANAGER
Name : PAUL CYCA
Credential :
Telephone Number : 216-210-2160
Provider Enumeration Date : 11/22/2015
Last Update Date : 11/22/2015

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Directions to “CVS ” Practice Location

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