Healthcare Provider Details

I. General information

NPI: 1205683208
Provider Name (Legal Business Name): CENTRAL VIRGINIA HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 INDUSTRIAL DR
LOUISA VA
23093
US

IV. Provider business mailing address

PO BOX 220
NEW CANTON VA
23123-0220
US

V. Phone/Fax

Practice location:
  • Phone: 540-967-9401
  • Fax: 804-800-2351
Mailing address:
  • Phone: 434-390-8788
  • Fax: 434-581-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID WARE CHRISTIAN
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 434-581-3271