Organization
KANSAS CVS PHARMACY LLC
Active
Other names
CVS Pharmacy# 10244
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
3901 SW 21ST ST, TOPEKA, KS 66604-3356
(785) 273-1106
Mailing address
1 CVS DR, 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
—
1721465
NCPDP
KS
05
—
201083270L
—
KS
Enumeration date
03/02/2015
Last updated
07/28/2015
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