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Organization

CENTRAL VIRGINIA HEALTH SERVICES

Active
Other names
Health Care Alliance Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RODERICK MANIFOLD (EXECUTIVE DIRECTOR)
(434) 581-3273
Entity
Organization

Contact information

Practice address
321 C POPLAR DRIVE, PETERSBURG, VA 23803
(804) 733-5591
(804) 957-5850
Mailing address
321 C POPLAR DRIVE, PETERSBURG, VA 23805
(804) 733-5591
(804) 957-5850

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201001944
VA
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010097185
VA
Enumeration date
03/28/2006
Last updated
07/24/2023
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