# MISSOURI CVS PHARMACY, L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \# 03087
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285940957
- **Authorized official:** SUSAN F. COLBERT (DIRECTOR)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 11560 OLIVE BLVD, CREVE COEUR, MO 63141
- **Practice address phone:** (314) 995-7128
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 10/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1285940957 | — | MO |
| 01 | — | 2639233 | NCPDP | — |