Organization
VIJAYASREE LLC
Active
Organization
VIJAYASREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SREEDEVI MANDALAPU (MEMBER)
(610) 419-4198
Entity
Organization
Contact information
Practice address
1816 STEFKO BLVD STE A, BETHLEHEM, PA 18017-6235
(610) 419-4198
(610) 419-4252
Mailing address
1816 STEFKO BLVD STE A, BETHLEHEM, PA 18017-6235
(610) 419-4198
(610) 419-4252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/22/2015
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