MEDICARE: CENTRAL VIRGINIA TRAINING CTR. PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1710010046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL VIRGINIA TRAINING CTR. PHARMACY

Provider Business Mailing Address
First Line	:	PO BOX 1098
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24505-1098
Country	:	US
Telephone Number	:	434-947-2081
Fax Number	:	434-947-2988

Provider Business Practice Location Address
First Line	:	521 COLONY RD
Second Line	:
City	:	MADISON HTS
State	:	VA
Zip	:	24572-2105
Country	:	US
Telephone Number	:	434-947-2081
Fax Number	:	434-947-2988

Authorized Official
Title or Position	:	PHARMACY DIRECTOR
Name	:	MS. TERESA S. PIGUE
Credential	:	R.PH., BCPP
Telephone Number	:	434-947-2081

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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