Cvs Pharmacy 01288

LBN: Cvs State Capital Llc
Cvs Pharmacy 01288 is an health care organization with primary practice located at 147 Bath Rd , Brunswick ME 04011-2647. 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) 729-8587, or through Colbert, Susan F via phone (401) 765-1500.

Contact Information

Primary practice address
147 Bath Rd Brunswick ME 04011-2647
Phone: (207) 729-8587
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH50000791 Maine
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1245334168
LBN Legal business name Cvs State Capital Llc
DBA Doing business as Cvs Pharmacy 01288
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 14th, 2021 - about 4 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 1245334168 NPPES
Other 2002626 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 008039866 OTHER ID NUMBER-COMMERCIAL NUMBER

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