# VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VCU Health System - Virginia Treatment Center for Children Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023769874
- **Authorized official:** ELIZABETH ALLEN (VP OF FINANCE AND ACCOUNTING)
- **Authorized official phone:** (804) 628-1338

## Contact information

- **Practice address:** 1308 SHERWOOD AVE, RICHMOND, VA 23220-1210
- **Practice address phone:** (804) 628-8800
- **Mailing address:** PO BOX 758997, BALTIMORE, MD 21275-8997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2022
- **Last updated:** 11/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30015174800078 | — | VA |