Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy # 01539
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
10805 TIDEWATER TRL, FREDERICKSBURG, VA 22408-2048
(540) 368-3390
Mailing address
ONE CVS DRIVE, BOX 1075 PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0201004133
VA
333600000X
Pharmacy
Primary
0201004133
VA
3336C0003X
Community/Retail Pharmacy
0201004133
VA
Other
Enumeration date
02/09/2007
Last updated
11/02/2011
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