Mississippi Cvs Pharmacy, L.l.c., NPI 1184853970
Pharmacy in Tupelo, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1184853970
NPI Entity Type Organization
Provider Name Mississippi Cvs Pharmacy, L.l.c.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 702 W Main St, Tupelo, MS, US
Provider Mailing Address 1 Cvs Dr, Box 1075 -pharmacy Enrollments, Woonsocket, RI, US, 028956146
Is Sole Proprietor? No
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Organization Official

Official Name Susan Colbert
Official Position DIRECTOR, PAYER RELATIONS
Phone 401-770-2751

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

Description 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.

Other Organization Name

CVS Pharmacy #08992
Doing Business As

Business Address

Mississippi Cvs Pharmacy, L.l.c.
702 W Main St

Tupelo, MS, US

Phone: 662-840-4818
Fax: 662-840-4816

Mailing Address

Mississippi Cvs Pharmacy, L.l.c.
1 Cvs Dr
Box 1075 -pharmacy Enrollments
Woonsocket, RI, US
ZIP 028956146
Phone: 401-765-1500

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2587725 NCPDP # 01
09326519 MS MEDICAID DME 01
00881251 MS MEDICAID 05

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