34D2284284 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07163

Laboratory Demographics

CLIA Number: 34D2284284

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07163

Facility Address:
3966 S MAIN STREET
HOPE MILLS, NC
ZIP 28348
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Facility Phone Number: 910 429-3010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578667242

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	34D2284284
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07163
Street	3966 S MAIN STREET
City	HOPE MILLS
State	NC
ZIP	28348
Phone	910 429-3010
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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