Whalio Doctors

NPI 1003913583

Cvs State Capital LLC

Organisation Pharmacy South Portland, ME

Practice location

Address
51 Market St, South Portland, ME 04106-3617
Phone
(207) 799-8166
Mailing address
1 Cvs Dr PO Box 1075, Woonsocket, RI 02895-6146

Authorised official

Name
Susan Colbert
Title
Director
Phone
(401) 765-1500

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence PH50000251 (ME)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1003913583
Entity type
Organization
NPI issued
19 Sep 2006
Record last updated
7 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.