Organization
SRI DRUG CENTER PHARMACY LLC
Active
Organization
SRI DRUG CENTER PHARMACY LLC
Active
Other names
DRUG CENTER PHARMACY, Drug Center Pharmacy #3, DRUG CENTER PHARMACY #3
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDHAR GOTTIPATI B.S IN PHARMACY (OFFICER)
(919) 986-2547
Entity
Organization
Contact information
Practice address
912 AIRLINE BLVD, PORTSMOUTH, VA 23707-3309
(757) 399-6361
(757) 399-1897
Mailing address
912 AIRLINE BLVD, PORTSMOUTH, VA 23707-3309
(757) 399-6361
(757) 399-1897
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201001994
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008506591
—
VA
01
—
4808246
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8505225
—
VA
Enumeration date
09/20/2006
Last updated
02/03/2023
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