Provider Information for 1710386206
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VIRGINIA CVS PHARMACY LLC
Other Names:Doing Business As:CVS PHARMACY # 02776Organization Subpart: NO
NPI: 1710386206
Last Updated: 2015-01-09
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Details
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NPI | 1710386206 | ||||||||||||||||
Enumeration Date | 2014-08-20 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SUSAN F COLBERT Title: Director, Payer Relations Phone: 4017702751 | ||||||||||||||||
Mailing Address | 1 CVS DR BOX 1075 - PHARMACY ENROLLMENT WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax:401-770-7108 | ||||||||||||||||
Primary Practice Address | 1280 N GREAT NECK RD VIRGINIA BEACH, VA 23454-2126 United States Phone: 757-481-2678 | Fax: | ||||||||||||||||
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