Cvs Pharmacy #04158
LBN: Cvs State Capital. L.L.C.
Cvs Pharmacy #04158 is an health care organization with primary practice located at 24 Stone St Ste 120 , Augusta ME 04330-5209. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Cvs State Capital. L.L.C. can be contacted via phone (401) 765-1500, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
24 Stone St Ste 120
Augusta ME 04330-5209
Phone: (401) 765-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1376793257 |
|---|---|
| LBN Legal business name | Cvs State Capital. L.L.C. |
| DBA Doing business as | Cvs Pharmacy #04158 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2008 |
| Last updated | Jul 7th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376793257 | NPPES |
| Maine | MEDICAID | 157010003 | |
| Maine | Other | 2008286 |
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