Whalio Doctors

NPI 1215481460

Cvs Caremark

Organisation Preferred Provider Organization Fayetteville, NC

Practice location

Address
404 Ramsey St, Fayetteville, NC 28301-4910
Phone
(910) 484-1106

Authorised official

Name
Dustin Edge
Title
Pharmacy Supervisor
Phone
(910) 424-0317

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence 24653 (NC)

Registry record

NPI
1215481460
Entity type
Organization
NPI issued
4 Aug 2016
Record last updated
4 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.