Healthcare Provider Details

I. General information

NPI: 1235384249
Provider Name (Legal Business Name): VBS RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2008
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 MAIN ST
BELFORD NJ
07718-2001
US

IV. Provider business mailing address

877 MAIN ST
BELFORD NJ
07718-2001
US

V. Phone/Fax

Practice location:
  • Phone: 732-471-9100
  • Fax: 732-471-9120
Mailing address:
  • Phone: 732-471-9100
  • Fax: 732-471-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00686800
License Number StateNJ

VIII. Authorized Official

Name: KARUNAKAR BHUPATHI
Title or Position: PHARMACIST-IN-CHARGE
Credential:
Phone: 732-471-9100