Provider Demographics
NPI:1568754141
Name:VC PHARMACY INC
Entity Type:Organization
Organization Name:VC PHARMACY INC
Other - Org Name:RITE CARE PHARMACY V
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULFIQAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-421-2210
Mailing Address - Street 1:9415 BRUTON RD STE 3104
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-2647
Mailing Address - Country:US
Mailing Address - Phone:214-421-2210
Mailing Address - Fax:214-631-5800
Practice Address - Street 1:9415 BRUTON RD STE 3104
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-2647
Practice Address - Country:US
Practice Address - Phone:832-514-3401
Practice Address - Fax:832-514-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX273313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146442Medicaid
2130237OtherPK