Cvs Pharmacy #16975
LBN: Cvs State Capital Llc
Cvs Pharmacy #16975 is an health care organization with primary practice located at 60 Longview Dr , Bangor ME 04401-3629. 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 Llc can be contacted via phone (207) 945-9977, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
60 Longview Dr
Bangor ME 04401-3629
Phone: (207) 945-9977
Fax: (207) 945-9977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001551 | Maine |
Profile Details
| NPI number | 1104848852 |
|---|---|
| LBN Legal business name | Cvs State Capital Llc |
| DBA Doing business as | Cvs Pharmacy #16975 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 8th, 2016 - about 8 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 | 1104848852 | NPPES |
| Other | 2037567 | PK |
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