Kansas Cvs Pharmacy LLC

NPI #1902847809 in Shawnee, Kansas

Provider Information

NPI Number: 1902847809
Entity Type: Organization
Organization Name: Kansas Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 10, 2006
Last Updated: Sep 30, 2014

Practice Location

Address: 6510 NIEMAN RD
City: Shawnee
State: Kansas
ZIP Code: 66203-3328
Phone: (913) 248-0437

Authorized Official

Name: CRISTIANA MAURICIO
Title: MANAGER PHARMACY ENROLLMENTS
Phone: (401) 770-2937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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