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Organization

VLV MED PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RAMADEVI VC JONNALAGADDA (PRESIDENT)
(212) 923-7530
Entity
Organization

Contact information

Practice address
4085 BROADWAY, NEW YORK, NY 10032-1532
(212) 923-7530
(212) 923-7550
Mailing address
4085 BROADWAY, NEW YORK, NY 10032-1532
(212) 923-7530
(212) 923-7550

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
018488
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00876944
NY
01
3382417
NABP
Enumeration date
07/12/2006
Last updated
08/16/2012
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