Organization · Type 2 NPI

CVS State Capital LLC

Pharmacy · Bangor, ME

NPI number 1104848852 Active

Practice location

60 Longview Dr
Bangor, ME 04401-3629

Fax (207) 945-9977

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy Primary 333600000XNone listed
Community/Retail Pharmacy 3336C0003XPH50001551 (ME)

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 1104848852

CVS State Capital LLC's National Provider Identifier is 1104848852, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Bangor, ME. The record was last updated on Nov 8, 2016.