Missouri Cvs Pharmacy LLC
Pharmacy in Washington, MO. Organization (NPI-2).
NPI number1437366283
StatusActive
Last updated in NPPESSep 30, 2016
Details
- NPI
- 1437366283
- Entity type
- Organization (NPI-2)
- Legal business name
- Missouri Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2007
- Last updated
- Sep 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2007020101 | MO | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #17330 (Doing Business As)
Practice location
1851 Vernaci DrWashington, MO 63090-6174
Phone 636-825-7701 · Fax 636-825-7711
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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