Virginia Cvs Pharmacy, L.l.c.

NPI #1093813552 in Fairfax, Virginia

Provider Information

NPI Number: 1093813552
Entity Type: Organization
Organization Name: Virginia Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 20, 2006
Last Updated: Aug 26, 2016

Practice Location

Address: 3921 PROSPERITY AVE
City: Fairfax
State: Virginia
ZIP Code: 22031-3329
Phone: (703) 280-0237

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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