Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Other names
Schnucks Pharmacy743, CVS Pharmacy #18094
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
942 VALLEY CREEK DR, FARMINGTON, MO 63640-1968
(573) 664-5202
(573) 664-5203
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, 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
—
—
333600000X
Pharmacy
—
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
MO
Other
Enumeration date
10/24/2014
Last updated
06/26/2020
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