Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Other names
Schnucks Pharmacy 301, CVS Pharmacy #18070
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
315 N. 9TH ST., ST. LOUIS, MO 63101-1403
(314) 436-7491
(314) 345-8498
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(314) 994-4586
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/17/2009
Last updated
07/09/2020
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