Medicare Supplier MISSOURI CVS PHARMACY LLC Details

Globally Unique Supplier Identifier: 20323613

medicare equipment supplier status:  active since 2023-01-01

Supplier: MISSOURI CVS PHARMACY LLC

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20323613
Globally Unique Supplier Identifier
Company Name MISSOURI CVS PHARMACY LLC
Supplier Company Name
Doing Business As (DBA) CVS PHARMACY #10280
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 2023-01-01
Participation Begin Date
Address Line 500 N BISHOP AVE
Delivery Address Line
City ROLLA
Business Address City
State MO
Business Address State
Zip 65401-2989
Business Address Zip
Phone Number 573-308-4887
Business Phone Number
Specialities List
  • Pharmacy
Specialities List
Product Category Name(s)
  • Blood Glucose Monitors/Supplies (Mail Order)
  • Blood Glucose Monitors/Supplies (Non-Mail Order)
  • Canes and/or Crutches
  • Commodes, Urinals, Bedpans
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • Heat & Cold Applications
  • Immunosuppressive Drugs
  • Nebulizer Drugs
  • Nebulizer Equipment and/or Supplies
  • Oral Anticancer Drugs
  • Oral Antiemetic Drugs
  • Ostomy Supplies
  • Parenteral Equipment and/or Supplies
  • Parenteral Nutrients
  • Surgical Dressings
  • Urological Supplies
  • Walkers
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 37.94745
Business Practice Latitude
Longitude -91.77725
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

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