Organization · Type 2 NPI
CVS State Capital LLC
Pharmacy · South Portland, ME
Practice location
200 Running Hill Rd
South Portland, ME 04106-3258
Fax (207) 871-0911
Mailing address
1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Pharmacy Primary | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | PH50001549 (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…
7 other providers at this address
- Alexander Kolb, PharmDPharmacist South Portland, ME NPI 1124572292
- Audrey SanicolaPharmacist South Portland, ME NPI 1295130425
- Jayne DenehyPharmacy Technician South Portland, ME NPI 1154711760
- Kati Nicolantonio, PharmDPharmacist South Portland, ME NPI 1609479559
- Kimberly Anne Vesely, PharmDPharmacist South Portland, ME NPI 1770739377
- Kristen Marie Cameron, PharmD, RPHPharmacist South Portland, ME NPI 1043813991
- Lisa Ann Lane, R.PH, PharmDPharmacist South Portland, ME NPI 1437397130
Other pharmacy providers in South Portland
About NPI 1295757946
CVS State Capital LLC's National Provider Identifier is 1295757946, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in South Portland, ME. The record was last updated on Nov 3, 2016.