Cvs Pharmacy #04030
LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy #04030 is an health care organization with primary practice located at 11623 Reisterstown Rd , Reisterstown MD 21136-3736. 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 (410) 526-3509, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
11623 Reisterstown Rd
Reisterstown MD 21136-3736
Phone: (410) 526-3509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P01951 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1215030036 |
|---|---|
| LBN Legal business name | Maryland Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy #04030 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Nov 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215030036 | NPPES |
| Other | 2120816 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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