Cvs Pharmacy #16420

LBN: Missouri Cvs Pharmacy Llc
Cvs Pharmacy #16420 is an health care organization with primary practice located at 6241 Mid Rivers Mall Dr , Saint Peters MO 63304-1102. 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 Llc can be contacted via phone (636) 345-9209, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
6241 Mid Rivers Mall Dr Saint Peters MO 63304-1102
Fax: (636) 345-9533
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2011032587 Missouri

Profile Details

NPI number 1265711055
LBN Legal business name Missouri Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #16420
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2011
Last updated Nov 21st, 2016 - about 8 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 1265711055 NPPES
Other 2131393 PK

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