Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #10321
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2 ASHTON RD, ASHTON, MD 20861-3300
(301) 260-1103
Mailing address
ONE CVS DRIVE, MAIL CODE 1090, WOONSOCKET, RI 02895-6145
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MD
333600000X
Pharmacy
Primary
—
MD
3336C0003X
Community/Retail Pharmacy
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1132261
—
MD
01
—
2000962
DME
MD
01
—
2140402
NCPDP
MD
Enumeration date
08/11/2016
Last updated
01/11/2017
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