Kansas Cvs Pharmacy LLC

NPI #1801818547 in Mission, Kansas

Provider Information

NPI Number: 1801818547
Entity Type: Organization
Organization Name: Kansas Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jul 24, 2006
Last Updated: Oct 21, 2016

Practice Location

Address: 6100 BROADMOOR ST
City: Mission
State: Kansas
ZIP Code: 66202-3229
Phone: (913) 262-7863

Authorized Official

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

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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