Cvs Pharmaacy #00959

LBN: Cvs State Capital, L.L.C.
Cvs Pharmaacy #00959 is an health care organization with primary practice located at 11 Steeple Way , Wells ME 04090. 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 (207) 641-0860, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
11 Steeple Way Wells ME 04090
Phone: (207) 641-0860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588811699
LBN Legal business name Cvs State Capital, L.L.C.
DBA Doing business as Cvs Pharmaacy #00959
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2008
Last updated Oct 7th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588811699 NPPES
Maine MEDICAID 157010002
Maine Other 2008250

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