Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCUHS Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC J. PULEO (CFO)
(804) 828-1295
Entity
Organization
Contact information
Practice address
401 N 12TH ST, RICHMOND, VA 23298-5035
(804) 628-6643
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
4846246
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8506744
—
VA
Enumeration date
05/05/2015
Last updated
06/02/2015
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