Cvs State Capital LLC

NPI #1871697797 in Westbrook, Maine

Provider Information

NPI Number: 1871697797
Entity Type: Organization
Organization Name: Cvs State Capital LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Oct 7, 2011

Practice Location

Address: 870 MAIN ST
City: Westbrook
State: Maine
ZIP Code: 04092-2820
Phone: (207) 854-8443

Authorized Official

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

Specialties & Taxonomy Codes

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

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