Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mississippi Cvs Pharmacy, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1093046500

Mississippi Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Olive Branch, Mississippi. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5025 Highway 305 N
Olive Branch, MS 38654-3602
Phone: (662) 890-3548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1093046500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #05604
NPI enumeratedJanuary 22, 2010
Last updated in NPPESMarch 1, 2012
Mailing addressOne Cvs Drive, Box 1075-Pharmacy Enrollments, Woonsocket, RI 02895

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