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Organization

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Active
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Organization

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA NOEL (FACILITY ENROLLMENT SUPERVISOR)
(804) 828-5009
Entity
Organization

Contact information

Practice address
1330 N 25TH ST, RICHMOND, VA 23223-5243
(804) 537-0103
Mailing address
PO BOX 786041, PHILADELPHIA, PA 19178-6041
(804) 828-9000

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
04/20/2026
Last updated
05/20/2026
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