Missouri Cvs Pharmacy LLC

NPI #1205400082 in Columbia, Missouri

Provider Information

NPI Number: 1205400082
Entity Type: Organization
Organization Name: Missouri Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: May 17, 2021
Last Updated: May 17, 2021

Practice Location

Address: 5410 CLARK LANE
City: Columbia
State: Missouri
ZIP Code: 65202
Phone: (401) 765-1500

Authorized Official

Name: SUSAN F COLBERT
Title: SR DIRECTOR
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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