Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #01735
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
7400 RITCHIE HWY, GLEN BURNIE, MD 21061-3110
(410) 760-2112
(401) 770-7108
Mailing address
1 CVS DR, 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
P04503
MD
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133116
COMMERCIAL NUMBER
MD
05
—
6621015 00
—
MD
Enumeration date
11/15/2006
Last updated
03/22/2012
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