Organization
VVLS HEALTHCARE INC
Active
Other names
RXD Medication Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LALIT C. CHERUKURI RPH (PHARMACIST IN CHARGE)
(215) 927-6700
Entity
Organization
Contact information
Practice address
1335 WEST TABOR ROAD, SUITE 102, PHILADELPHIA, PA 19141
(215) 927-6700
(215) 924-0960
Mailing address
1335 W TABOR RD, SUITE 102, PHILADELPHIA, PA 19141
(215) 927-6700
(215) 927-3016
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414761L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000986907
—
DE
05
—
0014169380001
—
PA
05
—
1025030930001
—
PA
01
—
3966908
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
5509009
—
NJ
01
—
PP414761L
STATE LICENSE
PA
Enumeration date
07/22/2006
Last updated
03/07/2023
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