Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCUHS-DOC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PRICE (BUSINESS MANAGER)
(804) 828-5711
Entity
Organization
Contact information
Practice address
401 N 12TH ST, RICHMOND, VA 23298-5035
(804) 628-0967
(804) 628-1533
Mailing address
401 N 12TH ST, RM B300, RICHMOND, VA 23298-5035
(804) 628-0967
(804) 628-1533
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
0201001878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126765
PK
—
Enumeration date
08/27/2010
Last updated
05/23/2013
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