National Provider Identifier Database

MISSOURI CVS PHARMACY LLC
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.


Contact Information

MISSOURI CVS PHARMACY, L.L.C.
245 E 5TH ST
EUREKA, MO63025-1223
Phone: 636-938-4976
Fax: 636-938-5075
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Diabetes Educator 163WD0400X
Durable Medical Equipment & Medical Supplies 332B00000X
Medical Specialty 261QM2500X
Pharmacy 333600000X

* Indicates primary specialty

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

NPI Number 1922043942
Legal business name
LBN
MISSOURI CVS PHARMACY, L.L.C.
Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 06/17/2006
Last updated 06/29/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 044861
  • MO License #: 2005025431
  • MO Medicaid: 606221208
  • Other: 2636136 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MISSOURI CVS PHARMACY, L.L.C.

There are currently no reviews for MISSOURI CVS PHARMACY, L.L.C.


NPIdb - Home
v2.201