Cvs Pharmacy #17382
LBN: Cvs State Capital Llc
Cvs Pharmacy #17382 is an health care organization with primary practice located at 119 Crossing Way , Augusta ME 04330-6102. 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) 622-8001, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
119 Crossing Way
Augusta ME 04330-6102
Phone: (207) 622-8001
Fax: (207) 622-8011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001547 | Maine |
Profile Details
| NPI number | 1972789311 |
|---|---|
| LBN Legal business name | Cvs State Capital Llc |
| DBA Doing business as | Cvs Pharmacy #17382 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Oct 31st, 2016 - about 9 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 | 1972789311 | NPPES |
| Other | 2037655 | PK |
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