Cvs Pharmacy 00804
LBN: Cvs State Capital Llc
Cvs Pharmacy 00804 is an health care organization with primary practice located at 1364 Congress St , Portland ME 04102-2103. 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) 773-3636, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
1364 Congress St
Portland ME 04102-2103
Phone: (207) 773-3636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PH50000228 | Maine |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1194822676 |
|---|---|
| LBN Legal business name | Cvs State Capital Llc |
| DBA Doing business as | Cvs Pharmacy 00804 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Jul 14th, 2021 - about 3 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 | 1194822676 | NPPES |
| Other | 2003729 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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