Whalio Doctors

NPI 1104848852

Cvs State Capital LLC

Organisation Pharmacy Bangor, ME

Practice location

Address
60 Longview Dr, Bangor, ME 04401-3629
Phone
(207) 945-9977
Fax
(207) 945-9977
Mailing address
1 Cvs Dr Box 1075, Woonsocket, RI 02895-6146

Authorised official

Name
Susan Colbert
Title
Sr. Director, Payer Relations
Phone
(401) 770-2751

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X Licence PH50001551 (ME)

Registry record

NPI
1104848852
Entity type
Organization
NPI issued
24 Jul 2006
Record last updated
8 Nov 2016

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.