Organization
MARYLAND CVS PHARMACY LLC.
Active
Other names
CVS Pharmacy #11398
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
28948 THREE NOTCH RD, MECHANICSVILLE, MD 20659-9998
(301) 290-5568
(301) 884-7329
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(301) 884-7329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
P00789
MD
Other
Enumeration date
12/29/2006
Last updated
10/16/2019
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