# VCORP,LLC DBA BLUFFTON PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLUFFTON PHARMACY INC, BLUFFTON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487790812
- **Authorized official:** ROBERT VAUGHN (OWNER)
- **Authorized official phone:** (843) 757-4999

## Contact information

- **Practice address:** 167 B BLUFFTON RD., BLUFFTON, SC 29910
- **Practice address phone:** (843) 757-4999
- **Practice address fax:** (843) 757-1034
- **Mailing address:** 167 B BLUFFTON RD., BLUFFTON, SC 29910
- **Mailing address phone:** (843) 757-4999
- **Mailing address fax:** (843) 757-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50002467 | SC | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 04/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2090030 | PK | — |
| 05 | — | 724671 | — | SC |