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Organization

MONTPELIERRPH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIVASANKAR R BEERAVALLI (OWNER)
(804) 883-6363
Entity
Organization

Contact information

Practice address
17128 MOUNTAIN RD, MONTPELIER, VA 23192-2550
(804) 883-6363
(804) 883-5788
Mailing address
17128 MOUNTAIN RD, MONTPELIER, VA 23192-2550
(804) 883-6363
(804) 883-5788

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201002247
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4807232
NABP
05
VA008500011
VA
05
VA009115951
VA
Enumeration date
08/11/2005
Last updated
02/28/2026
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