Organization · NPI-2

Missouri Cvs Pharmacy, L.L.C.

Pharmacy, Community/Retail Pharmacy · Farmington, MO

NPI number1407251069
StatusActive
Last updated in NPPESJun 26, 2020

Details

NPI
1407251069
Entity type
Organization (NPI-2)
Legal business name
Missouri Cvs Pharmacy, L.L.C.
Organization subpart
No
Enumeration date
Oct 24, 2014
Certification date
Jun 26, 2020
Last updated
Jun 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy–MOYes
261QM2500X Clinic/Center, Medical Specialty––
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy–MO
163WD0400X Registered Nurse, Diabetes Educator––

Other names

  • Cvs Pharmacy #18094 (Doing Business As)
  • Schnucks Pharmacy743 (Doing Business As)

Practice location

942 Valley Creek Dr
Farmington, MO 63640-1968

Phone 573-664-5202 · Fax 573-664-5203

Mailing address

1 Cvs Drive
Box 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Sr. Director, Payer Relations
4017702751

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