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.
10692 CAMPUS WAY SOUTH KETTERING SC
UPPER MARLBORO, MD20774
Phone: 301-336-2900
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Emergency Response System Companies 333300000X

* Indicates primary specialty

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

NPI Number 1376640862
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 11/12/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: P00519
  • MD Medicaid: 3922057 00
  • Other: 2101905 OTHER ID NUMBER-COMMERCIAL NUMBER
  • MD Other: P00754558 MEDICARE RR

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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