Organization · NPI-2

Maryland Cvs Pharmacy LLC

Pharmacy · Cockeysville, MD

NPI number1235151994
StatusActive
Last updated in NPPESNov 8, 2016

Details

NPI
1235151994
Entity type
Organization (NPI-2)
Legal business name
Maryland Cvs Pharmacy LLC
Organization subpart
No
Enumeration date
Jul 24, 2006
Last updated
Nov 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail PharmacyP07042MD

Other names

  • Cvs Pharmacy #16612 (Doing Business As)

Practice location

9901 York Rd
Cockeysville, MD 21030-3407

Phone 410-683-6517 · Fax 410-616-2170

Mailing address

1 Cvs Dr
Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Sr. Director, Payer Relations
4017702751

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