Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY #03509
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4861 AMHERST HWY, MADISON HEIGHTS, VA 24572-2497
(434) 845-5991
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
201000696
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4804298
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754751
MEDICARE RR
—
Enumeration date
12/06/2006
Last updated
03/23/2026
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