Cvs Pharmacy# 10118
LBN: Missouri Cvs Pharmacy Llc
Cvs Pharmacy# 10118 is an health care organization with primary practice located at 501 W Mount Vernon St , Nixa MO 65714-9661. 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 (417) 724-8409, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
501 W Mount Vernon St
Nixa MO 65714-9661
Phone: (417) 724-8409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1902144306 |
|---|---|
| LBN Legal business name | Missouri Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy# 10118 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 21st, 2013 |
| Last updated | Jun 18th, 2013 - about 11 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 | 1902144306 | NPPES |
| Other | 2640882 | NCPDP | |
| MEDICAID | 1902144306 | NCPDP |
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