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MISSOURI CVS PHARMACY LLC NPI 1770505471


NPI Information

NPI: 1770505471
Provider Name: MISSOURI CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #17184

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1200 BRANSON HILLS PKWY
BRANSON, MO
ZIP 65616
Phone: (417) 243-4513
Get Directions

MISSOURI CVS PHARMACY LLC is a pharmacy in Branson, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MISSOURI CVS PHARMACY LLC NPI is 1770505471. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17184.

The provider's business location address is:

1200 BRANSON HILLS PKWY
BRANSON, MO
ZIP 65616-943
Phone: (417) 243-4513
Fax: (417) 243-4514

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy2006004137MISSOURINo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12049148OTHERPK
25724300104MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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