Provider Demographics
NPI:1568272789
Name:V-CARE PHARMACY OF DANVERS LLC
Entity type:Organization
Organization Name:V-CARE PHARMACY OF DANVERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YUNG-EN
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:508-202-9993
Mailing Address - Street 1:99 CONIFER HILL DR STE 102
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1194
Mailing Address - Country:US
Mailing Address - Phone:978-705-0007
Mailing Address - Fax:978-705-0015
Practice Address - Street 1:99 CONIFER HILL DR STE 102
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1194
Practice Address - Country:US
Practice Address - Phone:978-705-0007
Practice Address - Fax:978-705-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy