Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 10990
Organization subpart
No
Provider details
NPI number
Authorized official
S COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
12455 W BROAD ST RD, RICHMOND, VA 23233
(804) 364-0989
Mailing address
1 CVS DR, BOX 1075, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4847921
NCPDP
VA
Enumeration date
05/17/2017
Last updated
07/21/2022
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