Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCU Health Systems NOW Infusion 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
11958 W BROAD ST FL 2, HENRICO, VA 23233-1007
(804) 828-5468
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
(804) 628-6643
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
0202211458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015174800078
—
VA
05
—
8506744
—
VA
Enumeration date
07/19/2017
Last updated
11/01/2022
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