Cvs Pharmacy # 01471

LBN: Maryland Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 01471 is an health care organization with primary practice located at 129 St Charles Pkwy Smallwood Village Ctr , Waldorf MD 20602. 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) 843-9488, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
129 St Charles Pkwy Smallwood Village Ctr Waldorf MD 20602
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P00879 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639276124
LBN Legal business name Maryland Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 01471
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Nov 12th, 2010 - about 15 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 1639276124 NPPES
Other 2111564 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 3311121 00 OTHER ID NUMBER-COMMERCIAL NUMBER

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