Provider Demographics
NPI:1326522442
Name:VEDIC PHARMACY LLC
Entity Type:Organization
Organization Name:VEDIC PHARMACY LLC
Other - Org Name:GURLEYS PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIPUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:919-688-8978
Mailing Address - Street 1:114 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3604
Mailing Address - Country:US
Mailing Address - Phone:919-688-8978
Mailing Address - Fax:919-688-8072
Practice Address - Street 1:114 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3604
Practice Address - Country:US
Practice Address - Phone:919-688-8978
Practice Address - Fax:919-688-8072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy