Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 07565
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
485 OLD FRANKLIN TPKE, ROCKY MOUNT, VA 24151-5502
(540) 483-1178
Mailing address
PO BOX 1075, 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
201002467
VA
333600000X
Pharmacy
Primary
201002467
VA
3336C0003X
Community/Retail Pharmacy
201002467
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4820963
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754751
MEDICARE RR
VA
Enumeration date
09/07/2006
Last updated
01/18/2023
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