Organization
MISSOURI CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #18100
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5410 CLARK LANE, COLUMBIA, MO 65202
(401) 765-1500
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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