Cvs Pharmacy 04017
LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy 04017 is an health care organization with primary practice located at 28 Magothy Beach Rd , Pasadena MD 21122-4428. 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) 437-6450, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
28 Magothy Beach Rd
Pasadena MD 21122-4428
Phone: (410) 437-6450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P01023 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1861595381 |
|---|---|
| LBN Legal business name | Maryland Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy 04017 |
| 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 | 1861595381 | NPPES |
| Other | 2112376 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| Other | P00754543 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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