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Contact Information

VIRGINIA CVS PHARMACY, L.L.C.
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA22026
 Phone: 703-221-7467
 Fax: 401-770-7108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

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, L.L.C.

NPI # 1245428416
LBN Legal business name VIRGINIA CVS PHARMACY, L.L.C.
Authorized official CRISTIANA MAURICIO - (MANAGER, PHARMACY ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2007
Last updated 07/17/2014 - About 12 years ago
Identifiers
VA Medicaid 1245428416 RX-DME
VA Other 4840547 NCPDP
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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