Cvs Pharmacy #03789

LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy #03789 is an health care organization with primary practice located at 4840 Marlboro Pike , Capitol Heights MD 20743-5281. 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 Llc can be contacted via phone (301) 736-1894, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4840 Marlboro Pike Capitol Heights MD 20743-5281
Phone: (301) 736-1894
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P00518 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336244169
LBN Legal business name Maryland Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #03789
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 23rd, 2012 - about 12 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 1336244169 NPPES
Other 0900476 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 442133700 - RX OTHER ID NUMBER-COMMERCIAL NUMBER

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