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Organization

VIRGINIA CVS PHARMACY LLC

Active
Other names
CVS Pharmacy #17346
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
45130 COLUMBIA PL, STERLING, VA 20166-2500
(703) 463-2009
(703) 463-2009
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
201004169
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2106235
PK
Enumeration date
05/18/2007
Last updated
11/30/2016
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