Cvs Pharmacy #01503

LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy #01503 is an health care organization with primary practice located at 400 Middletown Pkwy , Middletown MD 21769-7722. 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) 371-4100, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
400 Middletown Pkwy Middletown MD 21769-7722
Phone: (301) 371-4100
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 P01202 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457458945
LBN Legal business name Maryland Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #01503
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Nov 2nd, 2015 - about 11 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 1457458945 NPPES
Other 2113467 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 570064700 - RX OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 6632131 00 - DME OTHER ID NUMBER-COMMERCIAL NUMBER

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