MEDICARE: VRP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1548813322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VRP LLC

Provider Business Mailing Address
First Line	:	204 MEDICAL DR STE 120
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-6372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 MEDICAL DR STE 120
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-6372
Country	:	US
Telephone Number	:	903-375-0833
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIRISHA PAVULURI
Credential	:
Telephone Number	:	903-375-0833

Provider Enumeration Date	:	07/19/2019
Last Update Date	:	11/14/2024

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Directions to “VRP LLC ” Practice Location

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