Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #08938
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1701 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-4042
(757) 460-2607
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013156116
—
VA
01
—
4841400
NCPDP
VA
Enumeration date
02/12/2009
Last updated
07/17/2014
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