Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Other names
SCHNUCKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
60 HAMPTON VILLAGE PLZ, SAINT LOUIS, MO 63109-2127
(314) 832-7700
(314) 832-7590
Mailing address
1 CVS DR # 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
2002015947
MO
333600000X
Pharmacy
2002015947
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634601
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
605850205
—
MO
Enumeration date
06/29/2006
Last updated
07/08/2020
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