Cvs Pharmacy # 05691
LBN: Missouri Cvs Pharmacy, L.L.C.
Cvs Pharmacy # 05691 is an health care organization with primary practice located at 11115 E Us Highway 24 , Independence MO 64054-1567. 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) 833-2493, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
11115 E Us Highway 24
Independence MO 64054-1567
Phone: (816) 833-2493
Fax: (816) 461-5817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 2004023148 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1942309257 |
|---|---|
| LBN Legal business name | Missouri Cvs Pharmacy, L.L.C. |
| DBA Doing business as | Cvs Pharmacy # 05691 |
| Authorized official | Colbert, Susan |
| 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 | 1942309257 | NPPES |
| Other | 2624725 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 602482002 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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