# MISSOURI CVS PHARMACY LLC

> 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 \#11005
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902437460
- **Authorized official:** SUSAN F COLBERT (SR DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 6211 DELMAR BLVD, SAINT LOUIS, MO 63130-4814
- **Practice address phone:** (401) 765-1500
- **Mailing address:** 1 CVS DR, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 02/03/2020