Organization
KANSAS CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 05257
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
1785 S MUR LEN RD, OLATHE, KS 66062-2611
(913) 390-9892
(913) 390-9523
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2-09932
KS
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717909
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
200602180D
—
KS
Enumeration date
09/12/2006
Last updated
09/30/2014
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