Cvs Pharmacy #05645
LBN: Missouri Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05645 is an health care organization with primary practice located at 930 N Belt Hwy , Saint Joseph MO 64506-3013. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Missouri Cvs Pharmacy, L.L.C. can be contacted via phone (816) 233-1353, or through Mauricio, Cristiana via phone (401) 770-2937.
Contact Information
Primary practice address
930 N Belt Hwy
Saint Joseph MO 64506-3013
Phone: (816) 233-1353
Fax: (816) 233-7635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 2004023122 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1114026424 |
|---|---|
| LBN Legal business name | Missouri Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #05645 |
| Authorized official | Mauricio, Cristiana |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 3rd, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114026424 | NPPES |
| Missouri | MEDICAID | 601654502 | |
| Missouri | Other | 2632227 |
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