Cvs Pharmacy 01909

LBN: Maryland Cvs Pharmacy, L.L.C.
Cvs Pharmacy 01909 is an health care organization with primary practice located at 6480 Old Waterloo Rd , Elkridge MD 21075-6508. 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. Maryland Cvs Pharmacy, L.L.C. can be contacted via phone (410) 799-0075, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
6480 Old Waterloo Rd Elkridge MD 21075-6508
Phone: (410) 799-0075
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P01723 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457455305
LBN Legal business name Maryland Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy 01909
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 1st, 2014 - about 12 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 1457455305 NPPES
Maryland MEDICAID 013534800 DME
Maryland MEDICAID 013533000 RX
Maryland Other 2118746

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