Provider Demographics
NPI:1538465927
Name:VVS PHARMACY INC.
Entity Type:Organization
Organization Name:VVS PHARMACY INC.
Other - Org Name:GREENE COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAO
Authorized Official - Middle Name:G
Authorized Official - Last Name:DESU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-834-6368
Mailing Address - Street 1:702 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1629
Mailing Address - Country:US
Mailing Address - Phone:718-834-6368
Mailing Address - Fax:718-330-2503
Practice Address - Street 1:702 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1629
Practice Address - Country:US
Practice Address - Phone:718-834-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy