Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #10444
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
601 CENTER DR, SAINTE GENEVIEVE, MO 63670-1801
(573) 883-5788
(573) 883-2112
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(573) 883-2112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2004018576
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2610308
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
600663009
—
MO
Enumeration date
07/30/2006
Last updated
07/21/2022
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