Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
CVS PHARMACY # 01819
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F. COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1400 TASKER RD, STEPHENS CITY, VA 22655
(540) 868-2217
Mailing address
1 CVS DR, PO 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
0201004083
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4839277
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
07/24/2014
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