Provider Demographics
NPI:1174850804
Name:V&W CONSULTING, INC
Entity Type:Organization
Organization Name:V&W CONSULTING, INC
Other - Org Name:THE COMPOUND PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:VANCE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:901-734-3127
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-0083
Mailing Address - Country:US
Mailing Address - Phone:901-734-3127
Mailing Address - Fax:
Practice Address - Street 1:201 LAKEVIEW RD STE D
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068-9742
Practice Address - Country:US
Practice Address - Phone:901-734-3127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14303336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1430OtherPHARMACY LICENSE NUMBER