Provider Demographics
NPI:1740984459
Name:VIPRX PHARMACY LLC
Entity type:Organization
Organization Name:VIPRX PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER OF VIP HEALTH MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:DEE DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LE-TROIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-341-9820
Mailing Address - Street 1:9312 VALLEY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9312 VALLEY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1979
Practice Address - Country:US
Practice Address - Phone:877-898-0472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIP HEALTH MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-28
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy