Missouri Cvs Pharmacy LLC
NPI #1396767083 in Independence, Missouri
Provider Information
- NPI Number
- 1396767083
- Entity Type
- Organization
- Organization Name
- Missouri Cvs Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Nov 21, 2016
Practice Location
- Address
- 17810 E 39TH ST S
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-3870
- Phone
- (816) 478-3645
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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