Healthcare Provider Details

I. General information

NPI: 1235094509
Provider Name (Legal Business Name): RPH ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 HALIFAX RD STE 2
SOUTH BOSTON VA
24592-4833
US

IV. Provider business mailing address

4121 HALIFAX RD STE 2
SOUTH BOSTON VA
24592-4833
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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