Organization
VIRGINIA CVS PHARMACY LLC
Active
Other names
TARGET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
9001 STAPLES MILL RD, RICHMOND, VA 23228-2022
(804) 672-5350
(804) 672-5358
Mailing address
1 CVS DR, MAIL CODE 1090, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
201004189
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982898060
—
VA
01
—
2106308
PK
—
Enumeration date
08/31/2007
Last updated
01/11/2016
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