Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCU Health System South Richmond Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALLEN (VP FINANCE AND ACCOUNTING)
(804) 628-1338
Entity
Organization
Contact information
Practice address
4730 N SOUTHSIDE PLAZA ST, RICHMOND, VA 23224-1742
(804) 828-6315
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015174800058
—
VA
Enumeration date
12/13/2006
Last updated
11/01/2022
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