MISSOURI CVS PHARMACY, L.L.C.

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

MISSOURI CVS PHARMACY, L.L.C.

19 S KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63703-5742

Phone: 573-334-9125
Fax: 573-334-9200
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Diabetes Educator	163WD0400X
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Medical Specialty	261QM2500X
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MISSOURI CVS PHARMACY, L.L.C.

NPI Number 1851336861

LBN Legal business name MISSOURI CVS PHARMACY, L.L.C.

Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/17/2006

Last updated 07/14/2020 - About 6 years ago

Identifiers

MO	License #	004123
MO	Medicaid	600245203
	Other	2613950	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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