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Cvs State Capital LLC — NPI 1063516987, Windham, ME | NPI Central

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NPI 1063516987

OrganizationActive

Cvs State Capital LLC

NPI 1063516987 · Pharmacy · Windham, ME

Provider details

NPI number: 1063516987
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Susan Colbert, Director(401) 765-1500

Specialties & taxonomies

PharmacyPrimary333600000XLicense PH50000166 (ME)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

770 Roosevelt Trl

Windham, ME 04062-5300

Phone: (207) 892-2541

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

1 Cvs Dr

Woonsocket, RI 02895-6146

Other names (DBA / former)

Doing business as: Cvs Pharmacy 00378

Registry dates

Enumerated: 2006-09-12
Last updated: 2010-07-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.