Cvs Pharmacy #01435
LBN: Maryland Cvs Pharmacy, L.L.C.
Cvs Pharmacy #01435 is an health care organization with primary practice located at 1503 Potomac Ave , Hagerstown MD 21742-2930. 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) 733-8515, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
1503 Potomac Ave
Hagerstown MD 21742-2930
Phone: (301) 733-8515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P00498 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1831293760 |
|---|---|
| LBN Legal business name | Maryland Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #01435 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Apr 21st, 2011 - about 13 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 | 1831293760 | NPPES |
| Maryland | Other | P00754558 | MEDICARE RR |
| Maryland | MEDICAID | 6632157 00 - DME | MEDICARE RR |
| Maryland | Other | 2101056 | MEDICARE RR |
| Maryland | MEDICAID | 4201728 00 | MEDICARE RR |
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