Cvs State Capital LLC

NPI #1003913583 in South Portland, Maine

Provider Information

NPI Number
1003913583
Entity Type
Organization
Organization Name
Cvs State Capital LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 19, 2006
Last Updated
Sep 7, 2012

Practice Location

Address
51 MARKET ST
State
Maine
ZIP Code
04106-3617
Phone
(207) 799-8166

Authorized Official

Name
SUSAN COLBERT
Title
DIRECTOR
Phone
(401) 765-1500

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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