Cvs State Capital LLC

NPI #1972789311 in Augusta, Maine

Provider Information

NPI Number
1972789311
Entity Type
Organization
Organization Name
Cvs State Capital LLC
Primary Specialty
Pharmacy
Enumeration Date
Jan 16, 2008
Last Updated
Oct 31, 2016

Practice Location

Address
119 CROSSING WAY
State
Maine
ZIP Code
04330-6102
Phone
(207) 622-8001

Authorized Official

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

Specialties & Taxonomy Codes

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

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