MISSOURI CVS PHARMACY LLC

Pharmacy

Active Organization
NPI: 1194767384

Practice Address

735 W STADIUM BLVD
Jefferson City, MO 65109

Phone: (573) 893-1079

Specialties

Specialty Code Primary License
Pharmacy - Community/Retail Pharmacy 3336C0003X No 2006020283 (MO)
Durable Medical Equipment & Medical Supplies 332B00000X No -
Pharmacy 333600000X Yes -

Frequently Asked Questions

NPI 1194767384 is the National Provider Identifier for MISSOURI CVS PHARMACY LLC, a Pharmacy provider located in Jefferson City, MO. This NPI was enumerated on June 12, 2006.

Quick Facts

NPI
1194767384
Type
Organization
Enumerated
Jun 12, 2006
Last Updated
Nov 21, 2016

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