Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS Pharmacy # 10991
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
12 E WINDSOR BLVD, WINDSOR, VA 23487-9442
(757) 242-6191
Mailing address
1 CVS DR, BOX 1075, 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
—
1891168613
—
VA
01
—
4846854
NCPDP
VA
Enumeration date
11/02/2015
Last updated
01/19/2023
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