Organization
KANSAS CVS PHARMACY LLC
Active
Other names
CVS Pharmacy# 10304
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
203 S WASHINGTON ST, JUNCTION CITY, KS 66441-3558
(785) 223-0781
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
01
—
1720994
NCPDP
—
05
—
201083270F
—
KS
Enumeration date
12/06/2013
Last updated
05/01/2014
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