Cvs Pharmacy #17110

LBN: Virginia Cvs Pharmacy Llc
Cvs Pharmacy #17110 is an health care organization with primary practice located at 4310 Fortuna Center Plz , Dumfries VA 22025-1538. 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) 586-6133, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4310 Fortuna Center Plz Dumfries VA 22025-1538
Phone: (703) 586-6133
Fax: (703) 586-6846
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 201004053 Virginia

Profile Details

NPI number 1376565069
LBN Legal business name Virginia Cvs Pharmacy Llc
DBA Doing business as Cvs Pharmacy #17110
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 5th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376565069 NPPES
Other 2105712 PK

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