Organization · NPI-2

Mississippi Cvs Pharmacy, L.L.C.

Pharmacy · Greenville, MS

NPI number1306946744

StatusActive

Last updated in NPPESJan 17, 2023

Details

NPI: 1306946744
Entity type: Organization (NPI-2)
Legal business name: Mississippi Cvs Pharmacy, L.L.C.
Organization subpart: No
Enumeration date: Sep 25, 2006
Certification date: Jan 17, 2023
Last updated: Jan 17, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
333600000X	Pharmacy	00670/01.2	MS	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–

Other names

Cvs Pharmacy # 05808 (Doing Business As)

Practice location

760 S Martin Luther King Hwy
Greenville, MS 38701

Phone 662-332-1518 · Fax 662-335-8985

Mailing address

1 Cvs Dr
Po Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Director, Payer Relations
4017702751

Is something wrong?

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