DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARYLAND CVS PHARMACY LLC

MEDICARE: MARYLAND CVS PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00754543OTHERMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12119510OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1316040132
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYLAND CVS PHARMACY LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : PO BOX 1075
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number : 401-770-7108
Provider Business Practice Location Address
First Line : 8501 FORT SMALLWOOD RD
Second Line :
City : PASADENA
State : MD
Zip : 21122-2607
Country : US
Telephone Number : 410-437-1149
Fax Number :
Authorized Official
Title or Position : DIRECTOR, PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/07/2006
Last Update Date : 05/11/2022

Similar Medicare Providers

1730592783 — MACKENZIE BRODE PHARMD
Practice Location Address:
8501 FORT SMALLWOOD RD
PASADENA, MD
21122-2607
Practice Phone: 410-437-1149
Practice Fax: 410-439-3043
1225437544 — ANGELICA DARIO
Practice Location Address:
8501 FORT SMALLWOOD RD
PASADENA, MD
21122-2607
Practice Phone: 410-437-1149
Practice Fax:
1043613631 — OLUWATOYIN O IFESANYA PHARM.D.
Practice Location Address:
8501 FORT SMALLWOOD RD
PASADENA, MD
21122-2607
Practice Phone: 410-437-1149
Practice Fax:
1912451568 — DAHAE KIM
Practice Location Address:
8501 FORT SMALLWOOD RD
PASADENA, MD
21122-2607
Practice Phone: 410-437-1149
Practice Fax:
1417561234 — MRS. TRACY SENYO ESSUAH-MENSAH PHARM.D
Practice Location Address:
8501 FORT SMALLWOOD RD
PASADENA, MD
21122-2607
Practice Phone: 240-482-9721
Practice Fax:
1457949026 — DR. LAURA SONDO PEFOK PHARMD
Practice Location Address:
8501 FORT SMALLWOOD RD
PASADENA, MD
21122-2607
Practice Phone: 410-437-1149
Practice Fax:

Directions to “MARYLAND CVS PHARMACY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.