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Organization

KANSAS CVS PHARMACY LLC

Active
Other names
CVS PHARMACY 08588
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization

Contact information

Practice address
11729 ROE AVE, LEAWOOD, KS 66211-2605
(913) 345-8404
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(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

Other identifiers
Code
Description
Identifier
Issuer
State
01
1718850
OTHER ID NUMBER-COMMERCIAL NUMBER
05
1811931280
MO
Enumeration date
06/16/2006
Last updated
11/21/2016
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