Cvs Pharmacy #05698

LBN: Missouri Cvs Pharmacy, L.L.C.
Cvs Pharmacy #05698 is an health care organization with primary practice located at 7107 N Oak Trfy , Gladstone MO 64118-2514. The organization recently has 2 registered licenses in different health care specialties including 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) 436-3200, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
7107 N Oak Trfy Gladstone MO 64118-2514
Phone: (816) 436-3200
Fax: (816) 468-6269
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2004023149 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124127436
LBN Legal business name Missouri Cvs Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy #05698
Authorized official Colbert, Susan
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 1124127436 NPPES
Other 2600294 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 600198824 OTHER ID NUMBER-COMMERCIAL NUMBER

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