Cvs Pharmacy #07410

LBN: Cvs State Capital, L.L.C.
Cvs Pharmacy #07410 is an health care organization with primary practice located at 48 Portland Rd , Kennebunk ME 04043-6631. 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. Cvs State Capital, L.L.C. can be contacted via phone (207) 467-8299, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
48 Portland Rd Kennebunk ME 04043-6631
Phone: (207) 467-8299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1962644708
LBN Legal business name Cvs State Capital, L.L.C.
DBA Doing business as Cvs Pharmacy #07410
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2009
Last updated Jun 18th, 2014 - 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 1962644708 NPPES
Maine MEDICAID 157010004
Maine Other 2008349

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