Organization
KANSAS CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #08602
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
7501 METCALF AVE, OVERLAND PARK, KS 66204-2927
(913) 642-6330
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649214016
—
MO
01
—
1718747
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
200383920K
—
KS
Enumeration date
06/16/2006
Last updated
09/30/2014
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