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NPI Code Detail

MEDICARE: VIRGINIA CVS PHARMACY LLC

MEDICARE: VIRGINIA CVS PHARMACY LLC
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 Pharmacy201004189VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22106308OTHERPK

General Provider Information

NPI Number : 1982898060
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA CVS PHARMACY LLC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : MAIL CODE 1090
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 9001 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2022
Country : US
Telephone Number : 804-672-5350
Fax Number : 804-672-5358
Authorized Official
Title or Position : SR. DIRECTOR, PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 08/31/2007
Last Update Date : 01/11/2016

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Directions to “VIRGINIA CVS PHARMACY LLC ” Practice Location

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