Cvs Pharmacy #01964

LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy #01964 is an health care organization with primary practice located at 18080 Mateny Rd Cloppers Mall Shopping Center , Germantown MD 20874. 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) 916-9311, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
18080 Mateny Rd Cloppers Mall Shopping Center Germantown MD 20874
Phone: (301) 916-9311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P01897 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871690362
LBN Legal business name Maryland Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #01964
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 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 1871690362 NPPES
Maryland MEDICAID 3662071 00
Maryland MEDICAID 5562163 00 - DME
Maryland Other 2119940

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