CVS STATE CAPITAL LLC

Pharmacy

Active Organization
NPI: 1194822676

Practice Address

1364 CONGRESS ST
Portland, ME 04102

Phone: (207) 773-3636

Specialties

Specialty Code Primary License
Durable Medical Equipment & Medical Supplies 332B00000X No -
Pharmacy - Community/Retail Pharmacy 3336C0003X No -
Pharmacy 333600000X Yes PH50000228 (ME)

Frequently Asked Questions

NPI 1194822676 is the National Provider Identifier for CVS STATE CAPITAL LLC, a Pharmacy provider located in Portland, ME. This NPI was enumerated on September 19, 2006.

Quick Facts

NPI
1194822676
Type
Organization
Enumerated
Sep 19, 2006
Last Updated
Jul 14, 2021

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