Provider Demographics
NPI:1710010046
Name:CENTRAL VIRGINIA TRAINING CTR. PHARMACY
Entity Type:Organization
Organization Name:CENTRAL VIRGINIA TRAINING CTR. PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIGUE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, BCPP
Authorized Official - Phone:434-947-2081
Mailing Address - Street 1:PO BOX 1098
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24505-1098
Mailing Address - Country:US
Mailing Address - Phone:434-947-2081
Mailing Address - Fax:434-947-2988
Practice Address - Street 1:521 COLONY RD
Practice Address - Street 2:
Practice Address - City:MADISON HTS
Practice Address - State:VA
Practice Address - Zip Code:24572-2105
Practice Address - Country:US
Practice Address - Phone:434-947-2081
Practice Address - Fax:434-947-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy