Organization · Type 2 NPI

Missouri CVS Pharmacy, L.l.c.

Community/Retail Pharmacy · Bridgeton, MO

NPI number 1104852623 Active

Practice location

11253 Saint Charles Rock Rd
Bridgeton, MO 63044-2702

Call (314) 738-0235 Map

Fax (314) 738-0137

Mailing address

1 Cvs Drive, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Diabetes Educator Registered Nurse	163WD0400X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	003851 (MO)
Pharmacy	333600000X	003851 (MO)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Bridgeton

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NPI record

NPI: 1104852623
Entity type: Organization (Type 2)
Issued: Jun 25, 2006
Last updated: Jun 10, 2020
Status: Active
Subpart: Yes of Schnuck Markets Inc

Other names

<unavail>
CVS Pharmacy #18043 · doing business as
Schnucks Pharmacy · doing business as
Schnucks Pharmacy · doing business as

Authorized official

Susan Colbert
Sr. Director, Payer Relations
(401) 770-2751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104852623

Missouri CVS Pharmacy, L.l.c.'s National Provider Identifier is 1104852623, issued on Jun 25, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bridgeton, MO. The record was last updated on Jun 10, 2020.