Organization Name: | MISSOURI CVS PHARMACY, L.L.C. |
NPI Number: | 1780911594 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
Mailing Address: | 9141 Olive Blvd Olivette |
State: | MO US |
Postal Code: | 631323722 |
Phone Number: | 3144322296 |
Fax Number: | 3144323354 |
NPI Enumeration Date: | 11/16/2009 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |