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Organization
WILLIAMSON DRUG COMPANY, LLC
Active
Organization
WILLIAMSON DRUG COMPANY, LLC
Active
Other names
Omnicare of Richmond #48370, Omnicare of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1572 E PARHAM RD, HENRICO, VA 23228
(804) 762-5871
(804) 762-4294
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0201003283
VA
3336L0003X
Long Term Care Pharmacy
Primary
0201003283
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4829505
NCPDP
VA
05
—
6001385000
—
WV
Enumeration date
09/20/2006
Last updated
11/26/2019
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