Cvs Pharmacy #05719

LBN: Missouri Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05719 is an health care organization with primary practice located at 621 Sw 3Rd St , Lees Summit MO 64063-2212. 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) 524-5084, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
621 Sw 3Rd St Lees Summit MO 64063-2212
Phone: (816) 524-5084
Fax: (816) 524-0215
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2004023146 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1396845731
LBN Legal business name Missouri Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05719
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396845731 NPPES
Other 2600282 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 600198816 OTHER ID NUMBER-COMMERCIAL NUMBER

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