Cvs State Capital LLC

NPI #1104848852 in Bangor, Maine

Provider Information

NPI Number
1104848852
Entity Type
Organization
Organization Name
Cvs State Capital LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Nov 8, 2016

Practice Location

Address
60 LONGVIEW DR
City
Bangor
State
Maine
ZIP Code
04401-3629
Phone
(207) 945-9977

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

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

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