Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #16467
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
12197 SUNSET HILLS RD, RESTON, VA 20190-3208
(703) 478-9698
(571) 306-5525
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
201003421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107109
PK
—
05
—
8504504
—
VA
Enumeration date
07/24/2006
Last updated
11/30/2016
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