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Contact Information

VVLS HEALTHCARE INC
1335 WEST TABOR ROAD
SUITE 102
PHILADELPHIA, PA19141
 Phone: 215-927-6700
 Fax: 215-924-0960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VVLS HEALTHCARE INC

NPI Number 1174544126
LBN Legal business name VVLS HEALTHCARE INC
Authorized official LALIT CHERUKURI - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
PA License # PP414761L
DE Medicaid 000986907
NJ Medicaid 5509009
PA Medicaid 0014169380001
PA Medicaid 1025030930001
Other 3966908 OTHER ID NUMBER-COMMERCIAL NUMBER
PA Other PP414761L STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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