# VLV MED PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932134509
- **Authorized official:** MRS. RAMADEVI VC JONNALAGADDA (PRESIDENT)
- **Authorized official phone:** (212) 923-7530

## Contact information

- **Practice address:** 4085 BROADWAY, NEW YORK, NY 10032-1532
- **Practice address phone:** (212) 923-7530
- **Practice address fax:** (212) 923-7550
- **Mailing address:** 4085 BROADWAY, NEW YORK, NY 10032-1532
- **Mailing address phone:** (212) 923-7530
- **Mailing address fax:** (212) 923-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 018488 | NY | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 08/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00876944 | — | NY |
| 01 | — | 3382417 | NABP | — |