Organization

Maryland Cvs Pharmacy Llc

May also be knows as Cvs Pharmacy 01795

Pharmacy in Upper Marlboro, MD(View on Map)

Legal Business Name

Maryland Cvs Pharmacy Llc

Also Known As

Cvs Pharmacy 01795

NPI Number

1629175112

NPI Type

Organization

Enumeration Date

09/19/2006

Specialties

(Taxonomies)

Code

333600000X
3336C0003X
332B00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Maryland

License Number

P01596

Contact
Information

Purpose

Mailing
Location

Address

1 CVS DR
5100 BROWN STATION RD

City

Woonsocket
Upper Marlboro

State

RI
MD

Postal Code

02895-6146
20772-9132

Country

US
US

Telephone Number

(401) 765-1500
(301) 627-1500

Authorized Official

Name

Susan Colbert

Title or Position

DIRECTOR, PAYER RELATIONS

Telephone Number

(401) 770-2751

Identifiers

Identifier

2117340
570060400 - RX

Identifier State

Unknown
MD

Identifier Issuer

OTHER ID NUMBER-COMMERCIAL NUMBER
Unknown

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

Data last updated by provider on 03/23/2012

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