Organization
CVS STATE CAPITAL LLC
Active
Other names
CVS Pharmacy #00273
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
446 SABATTUS ST, LEWISTON, ME 04240
(207) 783-3784
Mailing address
1 CVS DR, BOX 1075--PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/04/2007
Last updated
11/15/2025
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