# VIC VENA PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIC VENA PHARMACY
- **Other names:** Vic Vena Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013572643
- **Legal business name:** VIC VENA PHARMACY
- **Authorized official:** MR. VICTOR ANTHONY VENA RPH (PRESIDENT)
- **Authorized official phone:** (716) 372-7761

## Contact information

- **Practice address:** 1322 W STATE ST, OLEAN, NY 14760-2036
- **Practice address phone:** (716) 372-7761
- **Practice address fax:** (716) 372-4525
- **Mailing address:** 1322 W STATE ST, OLEAN, NY 14760-2036
- **Mailing address phone:** (716) 372-7761
- **Mailing address fax:** (716) 372-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 05/09/2019