Organization

Cvs State Capital Llc

May also be knows as Cvs Pharmacy 00374

Pharmacy in Portland, ME(View on Map)

Legal Business Name

Cvs State Capital Llc

Also Known As

Cvs Pharmacy 00374

NPI Number

1134223050

NPI Type

Organization

Enumeration Date

09/12/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Maine

License Number

PH50000256

Contact
Information

Purpose

Mailing
Location

Address

1 CVS DR
449 FOREST AVE

City

Woonsocket
Portland

State

RI
ME

Postal Code

02895-6146
04101-2029

Country

US
US

Telephone Number

N/A
(207) 772-1928

Authorized Official

Name

Susan Colbert

Title or Position

DIRECTOR

Telephone Number

(401) 765-1500

Identifiers

Identifier

2003767

Identifier State

Unknown

Identifier Issuer

OTHER ID NUMBER-COMMERCIAL NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/05/2012

Provider Address

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