Cvs Pharmacy#04199
LBN: Maryland Cvs Pharmacy Llc
Cvs Pharmacy#04199 is an health care organization with primary practice located at 34 N Cannon Ave , Hagerstown MD 21740-4919. 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) 978-8400, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
34 N Cannon Ave
Hagerstown MD 21740-4919
Phone: (301) 978-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P00613 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1902909369 |
|---|---|
| LBN Legal business name | Maryland Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy#04199 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | May 30th, 2012 - 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 | 1902909369 | NPPES |
| Maryland | MEDICAID | 551180100 RX | |
| Maryland | Other | 2102286 | |
| Maryland | MEDICAID | 662604100 DME |
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