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
10 EAST AVE LEWISTON SC
LEWISTON, ME04240
Phone: 207-783-9134
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 1477650950
Legal business name
LBN
CVS STATE CAPITAL LLC
Authorized official SUSAN COLBERT - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/19/2006
Last updated 03/05/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: PH50000255
  • Other: 2002842 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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