Organization
MISSOURI CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #18018
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
6083 MID RIVERS MALL DR, SAINT PETERS, MO 63304-1108
(636) 498-6550
(636) 498-0277
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2005008052
MO
333600000X
Pharmacy
Primary
008052
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/17/2006
Last updated
11/28/2023
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