Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCU Health System - Virginia Treatment Center for Children Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALLEN (VP OF FINANCE AND ACCOUNTING)
(804) 628-1338
Entity
Organization
Contact information
Practice address
1308 SHERWOOD AVE, RICHMOND, VA 23220-1210
(804) 628-8800
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-8997
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015174800078
—
VA
Enumeration date
01/13/2022
Last updated
11/01/2022
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