Provider Demographics
NPI:1932602323
Name:VEMPAK GROUP LLC
Entity Type:Organization
Organization Name:VEMPAK GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-295-1721
Mailing Address - Street 1:13440 UNIVERSITY BLVD # 240
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4798
Mailing Address - Country:US
Mailing Address - Phone:281-295-1721
Mailing Address - Fax:
Practice Address - Street 1:13440 UNIVERSITY BLVD # 240
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4798
Practice Address - Country:US
Practice Address - Phone:281-295-1721
Practice Address - Fax:281-201-8625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty