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MAIN STREET PHARMACY LLC NPI 1225138514


NPI Information

NPI: 1225138514
Provider Name: MAIN STREET PHARMACY, LLC

Doing Business As: CVS PHARMACY #48275

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3110 GRACEFIELD RD
SILVER SPRING, MD
ZIP 20904
Phone: (301) 572-8470
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MAIN STREET PHARMACY, LLC is a long term care pharmacy pharmacy in Silver Spring, MD. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MAIN STREET PHARMACY, LLC NPI is 1225138514. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #48275.

The provider's business location address is:

3110 GRACEFIELD RD
SILVER SPRING, MD
ZIP 20904-820
Phone: (301) 572-8470
Fax: (301) 572-4957

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 3/7/2019.


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
13336L0003XPharmacyLong Term Care PharmacyYes

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: 4/28/2024

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