Cvs State Capital LLC

NPI #1952405870 in Auburn, Maine

Provider Information

NPI Number: 1952405870
Entity Type: Organization
Organization Name: Cvs State Capital LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Jun 18, 2014

Practice Location

Address: 8 UNION ST
City: Auburn
State: Maine
ZIP Code: 04210-5404
Phone: (207) 784-8101

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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