Kansas Cvs Pharmacy, L.l.c.

NPI #1609970557 in Mission, Kansas

Provider Information

NPI Number: 1609970557
Entity Type: Organization
Organization Name: Kansas Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Sep 30, 2014

Practice Location

Address: 6300 JOHNSON DR
City: Mission
State: Kansas
ZIP Code: 66202-2611
Phone: (913) 722-3711

Authorized Official

Name: CRISTIANA MAURICIO
Title: MGR PHCY ENROLLMENTS
Phone: (401) 770-2937

Specialties & Taxonomy Codes

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

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