Provider Demographics
NPI:1700629771
Name:VIRGINIA PHARMACEUTICAL SERVICES LLC
Entity type:Organization
Organization Name:VIRGINIA PHARMACEUTICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJASHEKARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-223-0236
Mailing Address - Street 1:1 COLLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1038
Mailing Address - Country:US
Mailing Address - Phone:757-937-2358
Mailing Address - Fax:757-937-2358
Practice Address - Street 1:1 COLLEY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1038
Practice Address - Country:US
Practice Address - Phone:757-937-2358
Practice Address - Fax:757-937-2358
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRGINIA PHARMACEUTICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty