Healthcare Provider Details

I. General information

NPI: 1710010046
Provider Name (Legal Business Name): CENTRAL VIRGINIA TRAINING CTR. PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 COLONY RD
MADISON HTS VA
24572-2105
US

IV. Provider business mailing address

PO BOX 1098
LYNCHBURG VA
24505-1098
US

V. Phone/Fax

Practice location:
  • Phone: 434-947-2081
  • Fax: 434-947-2988
Mailing address:
  • Phone: 434-947-2081
  • Fax: 434-947-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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