Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY #01542
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
629 BOULEVARD, COLONIAL HEIGHTS, VA 23834-3209
(804) 526-3506
(804) 526-2953
Mailing address
1 CVS DR, PO BOX 1075, 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
201000576
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4801761
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754775
MEDICARE RR
VA
Enumeration date
09/20/2006
Last updated
11/02/2023
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