Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCU Health AOP 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
401 N 12TH ST, RICHMOND, VA 23298-5035
(804) 828-0853
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
(804) 628-6643
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
0201001878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151391
PK
—
05
—
30015174800077
—
VA
Enumeration date
04/28/2015
Last updated
11/01/2022
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