Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Parent organization
SCHNUCK MARKETS INC
Other names
CVS Pharmacy #18022, SCHNUCKS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCHNUCK MARKETS INC
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
141 HILLTOWN VILLAGE CTR, CHESTERFIELD, MO 63017-1731
(636) 532-2511
(636) 532-2512
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCLET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
003753
MO
333600000X
Pharmacy
003753
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2617201
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
600125462
—
MO
Enumeration date
06/29/2006
Last updated
06/26/2020
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