Cvs Pharmacy #01621

LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy #01621 is an health care organization with primary practice located at 3855 Leonardtown Rd , Waldorf MD 20601-3627. 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 Llc can be contacted via phone (301) 632-5079, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
3855 Leonardtown Rd Waldorf MD 20601-3627
Phone: (301) 632-5079
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 PO4307 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063511418
LBN Legal business name Maryland Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #01621
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 14th, 2011 - about 15 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 1063511418 NPPES
Other 2132241 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 570058200 - RX OTHER ID NUMBER-COMMERCIAL NUMBER

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