Organization
CENTRAL VIRGINIA HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK MANIFOLD (EXECUTIVE DIRECTOR)
(434) 581-3273
Entity
Organization
Contact information
Practice address
25892 N JAMES MADISON HWY, NEW CANTON, VA 23123-2234
(434) 581-3271
(434) 581-2523
Mailing address
PO BOX 220, NEW CANTON, VA 23123-0220
(434) 581-3273
(240) 368-7437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201001208
VA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008509565
—
VA
Enumeration date
03/31/2006
Last updated
07/24/2023
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