Organization

Maryland Cvs Pharmacy, L.L.C.

May also be knows as Cvs Pharmacy #01456

Pharmacy in Upper Marlboro, MD(View on Map)

Legal Business Name

Maryland Cvs Pharmacy, L.L.C.

Also Known As

Cvs Pharmacy #01456

NPI Number

1376640862

NPI Type

Organization

Enumeration Date

09/19/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
333300000X

Primary Taxonomy

Yes
No
No

Licenses

State

Maryland

License Number

P00519

Contact
Information

Purpose

Mailing
Location

Address

1 CVS DR
10692 CAMPUS WAY SOUTH KETTERING SC

City

Woonsocket
Upper Marlboro

State

RI
MD

Postal Code

02895-6146
20774

Country

US
US

Telephone Number

(401) 765-1500
(301) 336-2900

Authorized Official

Name

Susan Colbert

Title or Position

DIRECTOR, PAYER RELATIONS

Telephone Number

(401) 770-2751

Identifiers

Identifier

3922057 00
P00754558
2101905

Identifier State

MD
MD
Unknown

Identifier Issuer

Unknown
MEDICARE RR
OTHER ID NUMBER-COMMERCIAL NUMBER

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

Data last updated by provider on 11/12/2010

Provider Address

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