Organization
MISSOURI CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #02363
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
8021 WATSON RD, WEBSTER GROVES, MO 63119-5304
(314) 963-0398
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003230335
—
MO
01
—
2641620
NCPDP
—
Enumeration date
02/06/2014
Last updated
07/17/2014
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