MEDICARE: V & R PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	11739	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4546620	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508970591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	V & R PHARMACY INC

Provider Business Mailing Address
First Line	:	13300 HARGRAVE RD
Second Line	:	SUITE 180
City	:	HOUSTON
State	:	TX
Zip	:	77070-4373
Country	:	US
Telephone Number	:	281-664-8829
Fax Number	:	281-664-8830

Provider Business Practice Location Address
First Line	:	13300 HARGRAVE RD
Second Line	:	SUITE 180
City	:	HOUSTON
State	:	TX
Zip	:	77070-4373
Country	:	US
Telephone Number	:	281-664-8829
Fax Number	:	281-664-8830

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VINCENT ROZNOVSKY
Credential	:
Telephone Number	:	281-664-8829

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	10/01/2017

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Directions to “V & R PHARMACY INC ” Practice Location

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