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CVS STATE CAPITAL L.L.C. NPI 1003004938


NPI Profile

NPI: 1003004938
Provider Name: CVS STATE CAPITAL, L.L.C.

Doing Business As: CVS PHARMACY #00273

Classification:Pharmacy - 333600000X
Entity Type: Organization
Address:
446 SABATTUS ST
LEWISTON, ME
ZIP 04240
Get Directions

Phone: (207) 783-3784

CVS STATE CAPITAL, L.L.C. is a pharmacy in Lewiston, ME. The provider is 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 located. CVS STATE CAPITAL, L.L.C. NPI is 1003004938. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #00273.

The provider's business location address is:

446 SABATTUS ST
LEWISTON, ME
ZIP 04240
Phone: (207) 783-3784

The provider's authorized official is Susan Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1157010001MEDICAIDMAINE
2P00959033MEDICARE PIN
32008159OTHERNCPDP
40015942MEDICARE PIN
50506640017MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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