Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 00947
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
28 ABBY RD, PALMYRA, VA 22963-2085
(434) 589-2278
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
—
1083886360
—
VA
01
—
4840787
NCPDP
VA
Enumeration date
03/27/2008
Last updated
01/10/2023
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