Provider Demographics
NPI:1780944678
Name:VCM HEALTHCARE MANAGEMENT GROUP INC
Entity type:Organization
Organization Name:VCM HEALTHCARE MANAGEMENT GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:919-797-2734
Mailing Address - Street 1:2910 FORRESTAL DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-4784
Mailing Address - Country:US
Mailing Address - Phone:919-797-2734
Mailing Address - Fax:919-797-2734
Practice Address - Street 1:2910 FORRESTAL DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4784
Practice Address - Country:US
Practice Address - Phone:919-797-2734
Practice Address - Fax:919-797-2734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22330174H00000X, 1835P1200X, 183500000X
FLPS31697174H00000X, 183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty