Cvs Pharmacy# 06477

LBN: Missouri Cvs Pharmacy Llc

Cvs Pharmacy# 06477 is an health care organization with primary practice located at 3002 Highway K , O Fallon MO 63368-8675. 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 Llc can be contacted via phone (636) 272-5856, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address

3002 Highway K O Fallon MO 63368-8675

Phone: (636) 272-5856

Fax:

Website:

Map and Directions

Authorized official contact:

Name: Colbert, Susan

Phone: (401) 765-1500

Health care specialties

Specialty	Code	License #	State
Suppliers / Durable Medical Equipment & Medical Supplies	332B00000X
Suppliers / Pharmacy	333600000X
Suppliers / Community/Retail Pharmacy	3336C0003X

Profile Details

NPI number	1073860490
LBN Legal business name	Missouri Cvs Pharmacy Llc
DBA Doing business as	Cvs Pharmacy# 06477
Authorized official	Colbert, Susan
Entity	Organization
Organization subpart ¹	No
Enumeration date	Aug 6th, 2012
Last updated	Jan 28th, 2013 - about 13 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

State	Type	Number	Issuer
All States	NPI	1073860490	NPPES
Missouri	MEDICAID	1073860490
Missouri	Other	2640402

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