National Provider Identifier Database

MARYLAND CVS PHARMACY 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

MARYLAND CVS PHARMACY, L.L.C.
2040 ROSEMONT AVE
FREDERICK, MD21702
Phone: 301-695-4811
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for MARYLAND CVS PHARMACY, L.L.C.

NPI Number 1316044803
Legal business name
LBN
MARYLAND CVS PHARMACY, L.L.C.
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 09/19/2006
Last updated 11/23/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: P02406
  • MD Medicaid: 6621023 00
  • Other: 2123569 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.

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