Organization
VD PHARMACY LLC
Active
Other names
LifeLine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESHWER PINGILI (PRESIDENT)
(410) 553-6100
Entity
Organization
Contact information
Practice address
85 KINDRED WAY, SUITE 102, GLEN BURNIE, MD 21061
(410) 553-6100
(410) 553-6110
Mailing address
85 KINDRED WAY, SUITE 102, GLEN BURNIE, MD 21061
(410) 553-6100
(410) 553-6110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07069
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155797
PK
—
Enumeration date
02/22/2016
Last updated
04/27/2016
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