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Contact Information

MARYLAND CVS PHARMACY, L.L.C.
1008 PULASKI HWY
HAVRE DE GRACE, MD21078
 Phone: 410-939-6427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

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

NPI Number 1730415795
LBN Legal business name MARYLAND CVS PHARMACY, L.L.C.
Authorized official SUSAN COLBERT - (DIRECTOR, MANAGED CARE CONTRACT ADM)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2009
Last updated 05/31/2018 - About 8 years ago
Identifiers
MD Medicaid 029237100 RX
MD Medicaid 029246000 DME
MD Other 2134928 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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