Provider Demographics
NPI:1407506678
Name:VFT PHARMACY LLC
Entity Type:Organization
Organization Name:VFT PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:281-617-7047
Mailing Address - Street 1:11104 W AIRPORT BLVD STE 119
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3043
Mailing Address - Country:US
Mailing Address - Phone:281-617-7047
Mailing Address - Fax:832-539-4331
Practice Address - Street 1:11104 W AIRPORT BLVD STE 119
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3043
Practice Address - Country:US
Practice Address - Phone:281-617-7047
Practice Address - Fax:832-539-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy