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General NPI Number Information
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NPI Number | 1174544126
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Entity Type | Organization
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Legal Business Name | VVLS HEALTHCARE INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1335 WEST TABOR ROAD SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19141
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Country | US
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Telephone | 215-927-6700
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Fax | 215-924-0960
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Provider Business Mailing Address
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Address Line | 1335 W TABOR RD SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19141
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Country | US
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Telephone | 215-927-6700
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Fax | 215-927-3016
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. LALIT C. CHERUKURI
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Credential | RPH
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Telephone | 215-927-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP414761L
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License Number State | PA
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