Provider Demographics
NPI:1649031790
Name:VC PHARMACY PLLC
Entity type:Organization
Organization Name:VC PHARMACY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEWUMI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:734-833-4781
Mailing Address - Street 1:7300 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1508
Mailing Address - Country:US
Mailing Address - Phone:248-618-3894
Mailing Address - Fax:947-222-8976
Practice Address - Street 1:7300 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1508
Practice Address - Country:US
Practice Address - Phone:248-618-3894
Practice Address - Fax:947-222-8976
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VC PHARMACY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy