Cvs Pharmacy #05661

LBN: Missouri Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05661 is an health care organization with primary practice located at 409 E North Ave , Belton MO 64012-2016. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Missouri Cvs Pharmacy, L.L.C. can be contacted via phone (816) 331-9716, or through Mauricio, Cristiana via phone (401) 770-2937.

Contact Information

Primary practice address
409 E North Ave Belton MO 64012-2016
Phone: (816) 331-9716
Fax: (816) 331-0145
Website:
Map and Directions
Authorized official contact:
Name: Mauricio, Cristiana
Phone: (401) 770-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2004023160 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033218342
LBN Legal business name Missouri Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05661
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033218342 NPPES
Missouri MEDICAID 600198857
Missouri Other 2618417

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