National Provider Identifier Database

CVS STATE CAPITAL LLC
Pharmacy

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.


Contact Information

CVS STATE CAPITAL LLC
449 FOREST AVE
PORTLAND, ME04101-2029
Phone: 207-772-1928
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for CVS STATE CAPITAL LLC

NPI Number 1134223050
Legal business name
LBN
CVS STATE CAPITAL LLC
Authorized official SUSAN COLBERT - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/12/2006
Last updated 03/05/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: PH50000256
  • Other: 2003767 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CVS STATE CAPITAL LLC

There are currently no reviews for CVS STATE CAPITAL LLC


NPIdb - Home
v2.201