Organization · NPI-2

Missouri Cvs Pharmacy LLC

Pharmacy · Florissant, MO

NPI number1427458496
StatusActive
Last updated in NPPESNov 28, 2014

Details

NPI
1427458496
Entity type
Organization (NPI-2)
Legal business name
Missouri Cvs Pharmacy LLC
Organization subpart
No
Enumeration date
Aug 27, 2014
Last updated
Nov 28, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Cvs Pharmacy# 10355 (Doing Business As)

Practice location

1550 S New Florissant Rd
Florissant, MO 63031-8123

Phone 314-830-3282

Mailing address

1 Cvs Dr
Woonsocket, RI 02895-6146

Authorized official

Susan Colbert
Director
4017651500

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