Missouri Cvs Pharmacy, L.l.c.

NPI #1124127436 in Gladstone, Missouri

Provider Information

NPI Number: 1124127436
Entity Type: Organization
Organization Name: Missouri Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 22, 2006
Last Updated: Feb 3, 2015

Practice Location

Address: 7107 N OAK TRFY
City: Gladstone
State: Missouri
ZIP Code: 64118-2514
Phone: (816) 436-3200

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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