Organization
INTRAVENE, LLC
Active
Parent organization
MEDICAL ASSOCIATES OF CENTRAL VIRGINIA, INC.
Other names
Intravene
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF CENTRAL VIRGINIA, INC.
Authorized official
MRS. NANCY DAVIS MOORE (PHARMACIST)
(434) 947-3900
Entity
Organization
Contact information
Practice address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3900
(434) 544-2332
Mailing address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3900
(434) 544-2332
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
0201002819
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008530955
—
VA
05
—
009149627
—
VA
Enumeration date
12/12/2006
Last updated
10/14/2013
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