34D2282869 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY # 03864

Laboratory Demographics

CLIA Number: 34D2282869

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY # 03864

Facility Address:
3100 LEGION RD
HOPE MILLS, NC
ZIP 28348
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Facility Phone Number: 910 424-1761

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134222995

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2282869
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY # 03864
Street	3100 LEGION RD
City	HOPE MILLS
State	NC
ZIP	28348
Phone	910 424-1761
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024