Provider Demographics
NPI:1578128088
Name:VIKU LLC
Entity Type:Organization
Organization Name:VIKU LLC
Other - Org Name:RADIANCE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAYUR
Authorized Official - Middle Name:VIPIN
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:909-333-4567
Mailing Address - Street 1:1823 COMMERCENTER WEST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3300
Mailing Address - Country:US
Mailing Address - Phone:909-333-4567
Mailing Address - Fax:909-333-4564
Practice Address - Street 1:1823 COMMERCENTER WEST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3300
Practice Address - Country:US
Practice Address - Phone:909-333-4567
Practice Address - Fax:909-333-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy