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NPI Code Detail

MEDICARE: VIRGINIA CVS PHARMACY, L.L.C.

MEDICARE: VIRGINIA CVS PHARMACY, L.L.C.
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacy

General Provider Information

NPI Number : 1922621960
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA CVS PHARMACY, L.L.C.
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-770-9978
Fax Number : 401-770-7108
Provider Business Practice Location Address
First Line : 4060 CAMPBELL AVE
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-3424
Country : US
Telephone Number : 401-765-1500
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR PAYER RELATIONS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 05/26/2020
Last Update Date : 06/30/2022

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