Cvs Pharmacy #01456
LBN: Maryland Cvs Pharmacy, L.L.C.
Cvs Pharmacy #01456 is an health care organization with primary practice located at 10692 Campus Way South Kettering Sc , Upper Marlboro MD 20774. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Emergency Response System Companies, 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) 336-2900, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
10692 Campus Way South Kettering Sc
Upper Marlboro MD 20774
Phone: (301) 336-2900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Emergency Response System Companies | 333300000X | ||
| Suppliers / Pharmacy | 333600000X | P00519 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1376640862 |
|---|---|
| LBN Legal business name | Maryland Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #01456 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Nov 12th, 2010 - about 14 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 | 1376640862 | NPPES |
| Maryland | MEDICAID | 3922057 00 | |
| Maryland | Other | P00754558 | |
| Maryland | Other | 2101905 |
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