Organization
VVLS HEALTHCARE INC
Active
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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