Cvs Pharmacy# 10297

LBN: Missouri Cvs Pharmacy Llc
Cvs Pharmacy# 10297 is an health care organization with primary practice located at 120 S Main St , Sikeston MO 63801-3032. 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 (573) 472-2516, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
120 S Main St Sikeston MO 63801-3032
Phone: (573) 472-2516
Fax:
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427483080
LBN Legal business name Missouri Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy# 10297
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2013
Last updated Mar 31st, 2015 - about 10 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 1427483080 NPPES
Arkansas MEDICAID 205008407
Arkansas Other 2641416
Arkansas MEDICAID 1427483080
Arkansas Other 206465716

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