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Organization

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Active
Other names
VCUHS Hemophila Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOMINIC J PULEO (CFO)
(804) 828-1295
Entity
Organization

Contact information

Practice address
417 N 11TH ST, ROOM G108, RICHMOND, VA 23298-5002
(804) 828-6315
(804) 828-6872
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
4828680
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
850674
VA
Enumeration date
05/21/2010
Last updated
05/21/2010
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