Kansas Cvs Pharmacy, L.l.c

NPI #1962914838 in Gardner, Kansas

Provider Information

NPI Number: 1962914838
Entity Type: Organization
Organization Name: Kansas Cvs Pharmacy, L.l.c
Primary Specialty: Pharmacy
Enumeration Date: Oct 31, 2017
Last Updated: Oct 31, 2017

Practice Location

Address: 110 W MAIN ST
City: Gardner
State: Kansas
ZIP Code: 66030-1106
Phone: (401) 765-1500

Authorized Official

Name: SUSAN F COLBERT
Title: SR. DIRECTOR PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

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

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