Organization · NPI-2

Missouri Cvs Pharmacy, L.L.C.

Pharmacy, Community/Retail Pharmacy · Florissant, MO

NPI number1942237250
StatusActive
Last updated in NPPESJun 26, 2020

Details

NPI
1942237250
Entity type
Organization (NPI-2)
Legal business name
Missouri Cvs Pharmacy, L.L.C.
Organization subpart
No
Enumeration date
Jun 26, 2006
Certification date
Jun 26, 2020
Last updated
Jun 26, 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 Supplies005342MO
333600000X Pharmacy005342MO

Other names

  • Cvs Pharmacy #18041 (Doing Business As)
  • Schnucks Pharmacy (Doing Business As)

Practice location

74 Grandview Plaza Ctr
Florissant, MO 63033

Phone 314-838-1366 · Fax 314-837-7681

Mailing address

1 Cvs Drive
Box 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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