Kansas Cvs Pharmacy LLC

NPI #1376988139 in Wichita, Kansas

Provider Information

NPI Number: 1376988139
Entity Type: Organization
Organization Name: Kansas Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: May 7, 2013
Last Updated: Oct 24, 2013

Practice Location

Address: 4808 E CENTRAL AVE
City: Wichita
State: Kansas
ZIP Code: 67208-4013
Phone: (316) 682-1733

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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