Organization · Type 2 NPI

CVS State Capital LLC

Pharmacy · South Portland, ME

NPI number 1003913583 Active

Practice location

51 Market St
South Portland, ME 04106-3617

Call (207) 799-8166 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH50000251 (ME)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1003913583

CVS State Capital LLC's National Provider Identifier is 1003913583, issued on Sep 19, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in South Portland, ME. The record was last updated on Sep 7, 2012.