Organization
KANSAS CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #08919
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
4300 RAINBOW BLVD, KANSAS CITY, KS 66103-3425
(913) 403-0581
Mailing address
1 CVS DR, 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
01
—
1720273
NCPDP
—
05
—
200602180V
—
KS
Enumeration date
07/15/2011
Last updated
01/05/2017
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