Provider Demographics
NPI:1922576701
Name:VUE, BECKY (PHARMD)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:VUE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 HEWITT DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-3029
Mailing Address - Country:US
Mailing Address - Phone:828-432-6846
Mailing Address - Fax:
Practice Address - Street 1:9900 POPLAR TENT RD STE 124
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-9502
Practice Address - Country:US
Practice Address - Phone:704-789-9602
Practice Address - Fax:704-795-4266
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37660183500000X
NC27681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist