Missouri Cvs Pharmacy, L.l.c

NPI #1427043413 in West Plains, Missouri

Provider Information

NPI Number: 1427043413
Entity Type: Organization
Organization Name: Missouri Cvs Pharmacy, L.l.c
Primary Specialty: Pharmacist
Enumeration Date: Sep 15, 2005
Last Updated: Jun 26, 2019

Practice Location

Address: 805 N KENTUCKY AVE
Address 2: SUITE 2
City: West Plains
State: Missouri
ZIP Code: 65775-2045
Phone: (417) 256-2274

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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