Provider Demographics
NPI:1235662362
Name:CVS PHARMACY
Entity Type:Organization
Organization Name:CVS PHARMACY
Other - Org Name:CVS RX SERVICES INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:FLOATER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:
Authorized Official - Last Name:VECHLEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-441-5282
Mailing Address - Street 1:605 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4101
Mailing Address - Country:US
Mailing Address - Phone:336-852-2550
Mailing Address - Fax:
Practice Address - Street 1:605 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4101
Practice Address - Country:US
Practice Address - Phone:336-852-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty