Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 05727
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1301 PLATTE FALLS RD, PLATTE CITY, MO 64079-7281
(816) 858-2713
(816) 858-4446
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2004023151
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2628937
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
601970007
—
MO
Enumeration date
09/22/2006
Last updated
02/03/2015
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