Cvs Pharmacy # 01880
LBN: Maryland Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 01880 is an health care organization with primary practice located at 12825 Wisteria Drive , Germantown MD 20874-2654. 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, L.L.C. can be contacted via phone (301) 540-1103, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
12825 Wisteria Drive
Germantown MD 20874-2654
Phone: (301) 540-1103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P01750 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1255438743 |
|---|---|
| LBN Legal business name | Maryland Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy # 01880 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Dec 8th, 2016 - about 9 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 | 1255438743 | NPPES |
| Maryland | MEDICAID | 3521079 00 | |
| Maryland | MEDICAID | 6632190 00 - DME | |
| Maryland | Other | 2118811 |
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