Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 07081
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELAATIONS)
(401) 766-1500
Entity
Organization
Contact information
Practice address
11127 JEFFERSON AVE, NEWPORT NEWS, VA 23601-2528
(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
—
1548492689
—
VA
01
—
4841830
NCPDP
VA
Enumeration date
08/21/2009
Last updated
07/17/2014
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