Provider Demographics
NPI:1578029849
Name:VP DRUGS LLC
Entity Type:Organization
Organization Name:VP DRUGS LLC
Other - Org Name:CITIHEALTH RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVYDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-772-0442
Mailing Address - Street 1:23 COURT ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-2693
Mailing Address - Country:US
Mailing Address - Phone:862-772-0442
Mailing Address - Fax:973-732-5504
Practice Address - Street 1:23 COURT ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-2693
Practice Address - Country:US
Practice Address - Phone:862-772-0442
Practice Address - Fax:973-732-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy