Cvs State Capital LLC

NPI #1235233156 in Bath, Maine

Provider Information

NPI Number: 1235233156
Entity Type: Organization
Organization Name: Cvs State Capital LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Feb 22, 2018

Practice Location

Address: 131 COURT ST
City: Bath
State: Maine
ZIP Code: 04530-2054
Phone: (207) 443-3307

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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