Cvs Pharmacy #16467
LBN: Virginia Cvs Pharmacy Llc
Cvs Pharmacy #16467 is an health care organization with primary practice located at 12197 Sunset Hills Rd , Reston VA 20190-3208. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Virginia Cvs Pharmacy Llc can be contacted via phone (703) 478-9698, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
12197 Sunset Hills Rd
Reston VA 20190-3208
Phone: (703) 478-9698
Fax: (571) 306-5525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 201003421 | Virginia |
Profile Details
| NPI number | 1063434744 |
|---|---|
| LBN Legal business name | Virginia Cvs Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy #16467 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 30th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063434744 | NPPES |
| Other | 2107109 | PK | |
| MEDICAID | 8504504 | PK |
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