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Contact Information

VIRGINIA CVS PHARMACY LLC
53 STANSTEAD RD
FREDERICKSBURG, VA22406
 Phone: 540-374-4821
 Fax: 540-374-4831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for VIRGINIA CVS PHARMACY LLC

NPI Number 1801080932
LBN Legal business name VIRGINIA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2007
Last updated 01/11/2016 - About 10 years ago
Identifiers
VA License # 201004194
VA Medicaid 1801080932
Other 2106305 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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