Whalio Doctors

NPI 1134223050

Cvs State Capital LLC

Organisation Pharmacy Portland, ME

Practice location

Address
449 Forest Ave, Portland, ME 04101-2029
Phone
(207) 772-1928
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 PH50000256 (ME)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1134223050
Entity type
Organization
NPI issued
12 Sep 2006
Record last updated
5 Mar 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.