Legal Business Name
Cvs State Capital Llc
Also Known As
Cvs Pharmacy 00620
NPI Number
1508960428
NPI Type
Organization
Enumeration Date
09/12/2006
Specialties
(Taxonomies)Code
333600000X
3336C0003X
332B00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Maine
License Number
PH50000111
Contact
Information
Purpose
Mailing
Location
Address
1 CVS DR
1 KENNEDY MEMORIAL DR
City
Woonsocket
Waterville
State
RI
ME
Postal Code
02895-6146
04901-5125
Country
US
US
Telephone Number
N/A
(207) 873-7161
Authorized Official
Name
Susan Colbert
Title or Position
DIRECTOR
Telephone Number
(401) 765-1500
Identifiers
Identifier
2003399
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 10/07/2011
Provider Address
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