Cvs Pharmacy # 04102

LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy # 04102 is an health care organization with primary practice located at 220 N 3Rd St , Oakland MD 21550-1326. 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) 334-8182, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
220 N 3Rd St Oakland MD 21550-1326
Phone: (301) 334-8182
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 P00606 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568565224
LBN Legal business name Maryland Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy # 04102
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Mar 22nd, 2012 - about 14 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 1568565224 NPPES
Maryland MEDICAID 6666051 00 DME
Maryland MEDICAID 5545048 00 RX
Maryland Other 2110029

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