Provider Information for 1487891867
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VIRGINIA CVS PHARMACY LLC
Other Names:Doing Business As:CVS PHARMACY #17528Organization Subpart: NO
NPI: 1487891867
Last Updated: 2016-12-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1487891867 | ||||||||||||||||
| Enumeration Date | 2009-01-07 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: SUSAN COLBERT Title: Sr. Director, Payer Relations Phone: 4017702751 | ||||||||||||||||
| Mailing Address | 1 CVS DR BOX 1075 WOONSOCKET, RI 02895-6146 United States Phone: 401-765-1500 | Fax: | ||||||||||||||||
| Primary Practice Address | 201 PERIMETER DR MIDLOTHIAN, VA 23113-7314 United States Phone: 804-419-8141 | Fax:804-419-8151 | ||||||||||||||||
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