Organization
MISSOURI CVS PHARMACY, L.L.C
Active
Other names
CVS Pharmacy #11407
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
805 N KENTUCKY AVE, SUITE 2, WEST PLAINS, MO 65775-2045
(417) 256-2274
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600305510
—
MO
Enumeration date
09/15/2005
Last updated
06/26/2019
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