Whalio Doctors

NPI 1295757946

Cvs State Capital LLC

Organisation Pharmacy South Portland, ME

Practice location

Address
200 Running Hill Rd, South Portland, ME 04106-3258
Phone
(207) 871-0911
Fax
(207) 871-0911
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 PH50001549 (ME)

Registry record

NPI
1295757946
Entity type
Organization
NPI issued
24 Jul 2006
Record last updated
3 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.