Cvs Pharmacy #11407

LBN: Missouri Cvs Pharmacy, L.L.C
Cvs Pharmacy #11407 is an health care organization with primary practice located at 805 N Kentucky Ave Suite 2, West Plains MO 65775-2045. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Missouri Cvs Pharmacy, L.L.C can be contacted via phone (417) 256-2274, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
805 N Kentucky Ave Suite 2 West Plains MO 65775-2045
Phone: (417) 256-2274
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 005315 Missouri

Profile Details

NPI number 1427043413
LBN Legal business name Missouri Cvs Pharmacy, L.L.C
DBA Doing business as Cvs Pharmacy #11407
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 26th, 2019 - about 7 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 1427043413 NPPES
Missouri MEDICAID 600305510

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