CVS STATE CAPITAL LLC

Pharmacy

Active Organization
NPI: 1134223050

Practice Address

449 FOREST AVE
Portland, ME 04101

Phone: (207) 772-1928

Specialties

Specialty Code Primary License
Pharmacy - Community/Retail Pharmacy 3336C0003X No -
Durable Medical Equipment & Medical Supplies 332B00000X No -
Pharmacy 333600000X Yes PH50000256 (ME)

Frequently Asked Questions

NPI 1134223050 is the National Provider Identifier for CVS STATE CAPITAL LLC, a Pharmacy provider located in Portland, ME. This NPI was enumerated on September 12, 2006.

Quick Facts

NPI
1134223050
Type
Organization
Enumerated
Sep 12, 2006
Last Updated
Mar 5, 2012

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