Healthcare Provider Details

I. General information

NPI: 1093678542
Provider Name (Legal Business Name): RPH ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 HALIFAX RD
SOUTH BOSTON VA
24592-4833
US

IV. Provider business mailing address

4121 HALIFAX RD
SOUTH BOSTON VA
24592-4833
US

V. Phone/Fax

Practice location:
  • Phone: 434-323-4150
  • Fax:
Mailing address:
  • Phone: 434-323-4150
  • Fax: 434-323-4151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY FRANCISCO
Title or Position: PHARMACIST OWNER
Credential: PHARMD
Phone: 434-222-8506