Organization
VPK SHAH MEDS LLC
Active
Other names
BENZER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL SHAH (OWNER/PRESIDENT/AO)
(301) 943-6183
Entity
Organization
Contact information
Practice address
4720 PUDDLEDOCK RD, PRINCE GEORGE, VA 23875-1275
(804) 793-8000
(804) 793-8001
Mailing address
4720 PUDDLEDOCK RD, PRINCE GEORGE, VA 23875-1275
(804) 793-8000
(804) 793-8001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177299
PK
—
Enumeration date
04/26/2018
Last updated
07/27/2018
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