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Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY 01909
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
6480 OLD WATERLOO RD, ELKRIDGE, MD 21075-6508
(410) 799-0075
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P01723
MD
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013533000 RX
—
MD
05
—
013534800 DME
—
MD
01
—
2118746
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
10/01/2014
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