Organization
VIRGINIA CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #08288
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIR, MANAGED CARE CONTRACT ADMIN)
(401) 770-2751
Entity
Organization
Contact information
Practice address
9026 SEMINOLE TRAIL, RUCKERSVILLE, VA 22968-3319
(434) 985-3067
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
—
1811210891
—
VA
01
—
4842060
NCPDP
VA
Enumeration date
03/05/2010
Last updated
01/19/2023
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