Missouri Cvs Pharmacy, L.L.C.
Pharmacy, Community/Retail Pharmacy in Ferguson, MO. Organization (NPI-2).
NPI number1679518682
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1679518682
- Entity type
- Organization (NPI-2)
- Legal business name
- Missouri Cvs Pharmacy, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jun 17, 2006
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 163WD0400X | Registered Nurse, Diabetes Educator | – | – | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 003044 | MO | |
| 333600000X | Pharmacy | 003044 | MO |
Other names
- Cvs Pharmacy #18061 (Doing Business As)
Practice location
49 N Florissant RdFerguson, MO 63135-2331
Phone 314-524-4144 · Fax 314-524-8750
Mailing address
1 Cvs DriveBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 314-994-4586
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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