Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #00244
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
115 S PINEY RD, CHESTER, MD 21619-2619
(410) 643-3007
Mailing address
115 S PINEY RD, CHESTER, MD 21619-2619
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133128
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3322173 00
—
MD
Enumeration date
11/13/2006
Last updated
07/07/2014
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