Provider Demographics
NPI:1255094686
Name:VUA PHARMACY INC
Entity Type:Organization
Organization Name:VUA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEZANAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-506-0047
Mailing Address - Street 1:19506 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3910
Mailing Address - Country:US
Mailing Address - Phone:347-506-0047
Mailing Address - Fax:347-506-0047
Practice Address - Street 1:19506 47TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3910
Practice Address - Country:US
Practice Address - Phone:347-506-0047
Practice Address - Fax:347-506-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy