Organization · NPI-2

Missouri Cvs Pharmacy, L.L.C.

Pharmacy, Community/Retail Pharmacy · Florissant, MO

NPI number1720016819
StatusActive
Last updated in NPPESJul 8, 2020

Details

NPI
1720016819
Entity type
Organization (NPI-2)
Legal business name
Missouri Cvs Pharmacy, L.L.C.
Organization subpart
Yes
Enumeration date
Jun 29, 2006
Certification date
Jul 8, 2020
Last updated
Jul 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
163WD0400X Registered Nurse, Diabetes Educator––
261QM2500X Clinic/Center, Medical Specialty––
332B00000X Durable Medical Equipment & Medical Supplies005832MO
333600000X Pharmacy005832MO

Other names

  • Schnucks Pharmacy (Doing Business As)
  • Cvs Pharmacy #18068 (Doing Business As)

Practice location

1160 Shackelford Rd
Florissant, MO 63031-4369

Phone 314-838-4660 · Fax 314-838-4664

Mailing address

1 Cvs Dr # 1075
Woonsocket, RI 02895-6146

Phone 401-765-1500

Authorized official

Susan Colbert
Sr. Director, Payer Relations
4017702751

Is something wrong?

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