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Missouri Cvs Pharmacy Llc

Missouri Cvs Pharmacy Llc is a health care provider in Woonsocket, RI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 400 S Truman Blvd, Crystal City, MO 63019-1728, US
Practice Location Phone636-937-3178
Practice Location Fax
Legal Business NameMISSOURI CVS PHARMACY LLC
Other Organization NameCVS PHARMACY # 10025
Other Organization Name TypeDoing Business As Name
NPI ?1528315165
Entity TypeOrganization
Enumeration Date ? Aug 14, 2012
Last Update Date ? Jan 30, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Missouri Cvs Pharmacy Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Pharmacy
PharmacyCommunity/Retail Pharmacy

legacy-id-icon Legacy Provider IDs of Missouri Cvs Pharmacy Llc

Provider IdIssuer StateIssuer TypeIssuer
2640426OtherNCPDP
1528315165MissouriMedicaid

official-icon Authorized Official of Missouri Cvs Pharmacy Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Missouri Cvs Pharmacy Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Susan Colbert
Authorized Official Title/PositionDIRECTOR
Authorized Official Phone Number401-765-1500