Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 06812
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, MANAGED CARE CONTRACT ADM)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4432 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2701
(401) 765-1500
Mailing address
1 CVS DR, BOX-1075 - PHARMACY ENROLLMENTS, 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
—
1285866426
—
VA
01
—
4841828
NCPDP
VA
Enumeration date
08/21/2009
Last updated
01/18/2023
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