Provider Demographics
NPI:1881210680
Name:VS PHARMACY CORP
Entity Type:Organization
Organization Name:VS PHARMACY CORP
Other - Org Name:VS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:CEPEDA PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-722-8300
Mailing Address - Street 1:2301 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4121
Mailing Address - Country:US
Mailing Address - Phone:212-722-8300
Mailing Address - Fax:212-722-0022
Practice Address - Street 1:2301 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4121
Practice Address - Country:US
Practice Address - Phone:212-722-8300
Practice Address - Fax:212-722-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-18
Last Update Date:2021-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy