Organization
MISSOURI CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 10444
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
601 CENTER DR, STE GENEVIEVE, MO 63670-1801
(573) 883-2439
Mailing address
PO BOX 1075, WOONSOCKET, RI 02895-0803
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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