Organization · Type 2 NPI

Missouri CVS Pharmacy LLC

Pharmacy · Jefferson City, MO

NPI number 1194767384 Active

Practice location

735 W Stadium Blvd
Jefferson City, MO 65109-4753

Call (573) 893-1079 Map

Fax (573) 658-9385

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	2006020283 (MO)

Pharmacy: 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 lo…

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About NPI 1194767384

Missouri CVS Pharmacy LLC's National Provider Identifier is 1194767384, issued on Jun 12, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jefferson City, MO. The record was last updated on Nov 21, 2016.