National Provider Identifier Database

MISSOURI CVS PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MISSOURI CVS PHARMACY LLC
6999 PARKER RD
FLORISSANT, MO63033
Phone: 314-438-1375
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for MISSOURI CVS PHARMACY LLC

NPI Number 1316297203
Legal business name
LBN
MISSOURI CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/18/2012
Last updated 01/28/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 1316297203
  • Other: 2640616 NCPDP

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.

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