Organization
VDNR PHARMACY LLC
Active
Other names
LifeLine Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJESHWER REDDY PINGILI MS, RPH (PRESIDENT)
(410) 203-1010
Entity
Organization
Contact information
Practice address
6304 WOODSIDE CT STE 100, COLUMBIA, MD 21046-3217
(410) 203-1010
(410) 203-1515
Mailing address
6304 WOODSIDE CT STE 100, COLUMBIA, MD 21046-3217
(410) 203-1010
(410) 203-1515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PW0513
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW0513
PERMIT NUMBER
MD
Enumeration date
11/14/2017
Last updated
10/21/2025
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