Organization Name: | MARYLAND CVS PHARMACY LLC |
NPI Number: | 1215144266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
Mailing Address: | 60 Shining Willow Way La Plata |
State: | MD US |
Postal Code: | 206464224 |
Phone Number: | 3019345910 |
Fax Number: | 3019345909 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |