Cvs State Capital Llc in South Portland - Pharmacy

Cvs State Capital Llc - NPI 1003913583

Cvs State Capital Llc is a Pharmacy in South Portland, Maine. Cvs State Capital Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Cvs State Capital Llc is 1003913583. The last update date is 2012-09-07.

Cvs State Capital Llc's current location address is 51 Market St, South Portland, Maine. You can contact this provider via phone number 2077998166. The mailing address for Cvs State Capital Llc is 51 Market St, South Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cvs State Capital Llc
Address 51 Market St, South Portland, Maine
Phone Number 2077998166
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Colbert Susan
Telephone Number 4017651500

NPI Number Detail

NPI Number 1003913583
Provider Enumeration Date 2006-09-19
Last Updated Date 2012-09-07

Provider Mailing Address Detail

Address 51 Market St
City South Portland
State Maine (ME)
Post Code 41063617
Phone Number 2077998166
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PH50000251
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2003743 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Cvs State Capital Llc

What is the unique provider identifier assigned to Cvs State Capital Llc?

The Cvs State Capital Llc has been issued the NPI (National Provider Identifier) 1003913583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Cvs State Capital Llc is physically located?

The Cvs State Capital Llc is physically situated at the following address: 51 Market St, South Portland, ME, 41063617.

What is Cvs State Capital Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cvs State Capital Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.

On what date was the 1003913583 assigned to Cvs State Capital Llc?

The Cvs State Capital Llc was issued its 1003913583 on 2006-09-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Cvs State Capital Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cvs State Capital Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-07.

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