Cvs Pharmacy #17213

LBN: Cvs State Capital Llc
Cvs Pharmacy #17213 is an health care organization with primary practice located at 125 Topsham Fair Mall Rd , Topsham ME 04086-1741. 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 Llc can be contacted via phone (207) 504-5051, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
125 Topsham Fair Mall Rd Topsham ME 04086-1741
Fax: (207) 504-5051
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001548 Maine

Profile Details

NPI number 1013939768
LBN Legal business name Cvs State Capital Llc
DBA Doing business as Cvs Pharmacy #17213
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Oct 31st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013939768 NPPES
Other 2037592 PK

Popular Providers