CVS State Capital LLC

Pharmacy · Waterville, ME

Organization Active NPI

NPI number 1508960428

Practice location

1 Kennedy Memorial Dr
Waterville, ME 04901-5125
Phone
(207) 873-7161

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NPI record

NPI
1508960428
Entity type
Organization (Type 2)
Enumeration date
September 12, 2006
Last updated
October 7, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X PH50000111 ME
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146

Authorized official

Name
Susan Colbert
Title
Director
Phone
(401) 765-1500

Other names

  • CVS Pharmacy 00620

About CVS State Capital LLC

CVS State Capital LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 1 Kennedy Memorial Dr, Waterville, ME 04901-5125. The NPI number 1508960428 was assigned on September 12, 2006 and the record was last updated on October 7, 2011.

CVS State Capital LLC lists a license in the registry: #PH50000111 (ME) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan Colbert, Director.

Frequently asked questions

What is the NPI number of CVS State Capital LLC?

The NPI number is 1508960428.

What is the phone number of CVS State Capital LLC?

The phone number listed for the practice location is (207) 873-7161.

Where is CVS State Capital LLC located?

1 Kennedy Memorial Dr, Waterville, ME 04901-5125.

What is the taxonomy code for CVS State Capital LLC?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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