MEDICARE: VPH PHARMACY

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336L0003X	Long Term Care Pharmacy	5301009617	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2132094	OTHER		PK

General Provider Information

NPI Number	:	1528019957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPH PHARMACY

Provider Business Mailing Address
First Line	:	5376 MILLER RD
Second Line	:
City	:	SWARTZ CREEK
State	:	MI
Zip	:	48473-1511
Country	:	US
Telephone Number	:	810-877-7170
Fax Number	:	810-733-1820

Provider Business Practice Location Address
First Line	:	5376 MILLER RD
Second Line	:
City	:	SWARTZ CREEK
State	:	MI
Zip	:	48473-1511
Country	:	US
Telephone Number	:	810-877-7170
Fax Number	:	810-733-1820

Authorized Official
Title or Position	:	OWNER
Name	:	NANDAN PATEL
Credential	:
Telephone Number	:	734-673-7829

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	10/11/2016

Similar Medicare Providers

1336392539 — VPH PHARMACY
Practice Location Address:

5376 MILLER RD
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48473-1511

Practice Phone: 810-877-7170
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1679853733 — VPH PHARMACY INC.
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Directions to “VPH PHARMACY ” Practice Location

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