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
300 KESTREL LANE
LAKE OZARK, MO65065
Phone: 573-365-7298
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 1649548330
Legal business name
LBN
MISSOURI CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/08/2011
Last updated 08/02/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 1649548330
  • Other: 2639928 NCPDP
  • MO Other: 1649548330 DME

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 LLC

There are currently no reviews for MISSOURI CVS PHARMACY LLC


NPIdb - Home
v2.201