Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 05893
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
300 LASKIN RD, VIRGINIA BEACH, VA 23451-3020
(757) 437-3090
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
—
1124366315
—
VA
01
—
NCPDP
4844393
VA
Enumeration date
01/22/2013
Last updated
05/15/2013
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