CVS STATE CAPITAL LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

CVS STATE CAPITAL LLC

430 MARINER WAY
BIDDEFORD, ME 04005-9440

Phone: 207-284-2511
Fax: 207-284-2516
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

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NPI Profile & details for CVS STATE CAPITAL LLC

NPI # 1609958073

LBN Legal business name CVS STATE CAPITAL LLC

Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/19/2006

Last updated 08/25/2016 - About 10 years ago

Identifiers

ME	License #	PH50001550
	Other	2037637	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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