Healthcare Provider Details

I. General information

NPI: 1326522442
Provider Name (Legal Business Name): VEDIC PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 05/01/2024
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 W MAIN ST
DURHAM NC
27701-3604
US

IV. Provider business mailing address

114 W MAIN ST
DURHAM NC
27701-3604
US

V. Phone/Fax

Practice location:
  • Phone: 919-688-8978
  • Fax: 919-688-8072
Mailing address:
  • Phone: 919-688-8978
  • Fax: 919-688-8072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VIPUL PATEL
Title or Position: PHARMACY MANAGER
Credential: R.PH.
Phone: 919-688-8978