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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pharmacy | 333600000X |
| Community/Retail Pharmacy | 3336C0003X | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
* Indicates primary specialty
| NPI Number | 1295757946 |
| Legal business name LBN |
CVS STATE CAPITAL LLC |
| Authorized official | SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 07/24/2006 |
| Last updated | 11/03/2016 - About 10 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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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.
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