Organization
V V L S PHARMACY LLC
Active
Other names
Altruix
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GANSE (CEO)
(717) 394-5671
Entity
Organization
Contact information
Practice address
3800 HORIZON BLVD, STE 103, TREVOSE, PA 19053-4968
(215) 494-9403
(215) 357-2129
Mailing address
3800 HORIZON BLVD, SUITE 103, TREVOSE, PA 19053-4968
(215) 494-9403
(215) 357-2129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
A9-0001619
DE
3336C0003X
Community/Retail Pharmacy
0214001747
VA
3336C0003X
Community/Retail Pharmacy
033631
NY
3336C0003X
Community/Retail Pharmacy
28RO00089200
NJ
3336C0003X
Community/Retail Pharmacy
Primary
NRX0000677
DC
3336C0003X
Community/Retail Pharmacy
P06955
MD
3336C0003X
Community/Retail Pharmacy
PP410111L
PA
3336S0011X
Specialty Pharmacy
PH29216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007473110001
—
PA
01
—
2125309
PK
—
Enumeration date
09/26/2005
Last updated
11/19/2024
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