| Organization Name: | CVS PHARMACY |
| NPI Number: | 1053695346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LEE BRISSON (PHARMACIST) |
| Mailing Address: | 230 Cole Avenue Raeford |
| State: | NC US |
| Postal Code: | 28376 |
| Phone Number: | 9108758501 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2011 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 05906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |