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, L.L.C
10820 MANCHESTER RD
KIRKWOOD, MO63122
Phone: 314-835-9448
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, L.L.C

NPI Number 1760933469
Legal business name
LBN
MISSOURI CVS PHARMACY, L.L.C
Authorized official SUSAN COLBERT - (SR DIRECTOR PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 10/18/2016
Last updated 12/20/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 1760933469
  • MO Other: NCPDP 2643713

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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