Cvs Pharmacy #17069

LBN: Missouri Cvs Pharmacy Llc
Cvs Pharmacy #17069 is an health care organization with primary practice located at 1272 Town And Country Crossing Dr , Chesterfield MO 63017-0605. 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) 591-0235, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1272 Town And Country Crossing Dr Chesterfield MO 63017-0605
Fax: (636) 591-0245
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 2008015193 Missouri

Profile Details

NPI number 1629239975
LBN Legal business name Missouri Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #17069
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2008
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 1629239975 NPPES
Other 2049645 PK

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