Missouri Cvs Pharmacy LLC

NPI #1205871209 in Gladstone, Missouri

Provider Information

NPI Number: 1205871209
Entity Type: Organization
Organization Name: Missouri Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 17, 2006
Last Updated: Oct 30, 2018

Practice Location

Address: 6129 NE ANTIOCH RD
City: Gladstone
State: Missouri
ZIP Code: 64119-1844
Phone: (816) 453-2220

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR
Phone: (401) 765-1500

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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