Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10751
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
934 N. CHARLES ST., BALTIMORE, MD 21201-5310
(410) 685-2187
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(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
01
—
2140313
NCPDP
MD
Enumeration date
06/03/2016
Last updated
10/28/2016
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