Organization
MISSOURI CVS PHARMACY, L.L.C.
Active
Other names
SCHNUCKS PHARMACY, CVS Pharmacy #18086
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1960 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3453
(636) 332-8640
(636) 332-0811
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
005547
MO
333600000X
Pharmacy
0055475547
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2628696
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
603748203
—
MO
Enumeration date
06/17/2006
Last updated
07/07/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us