Cvs Pharmacy 00378

LBN: Cvs State Capital Llc
Cvs Pharmacy 00378 is an health care organization with primary practice located at 770 Roosevelt Trl , Windham ME 04062-5300. 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) 892-2541, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
770 Roosevelt Trl Windham ME 04062-5300
Phone: (207) 892-2541
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 PH50000166 Maine
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063516987
LBN Legal business name Cvs State Capital Llc
DBA Doing business as Cvs Pharmacy 00378
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 27th, 2010 - about 16 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 1063516987 NPPES
Other 2002943 OTHER ID NUMBER-COMMERCIAL NUMBER

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