# VK SUPPLY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922943745
- **Authorized official:** VITALII KACHAN (PRESIDENT)
- **Authorized official phone:** (304) 244-2843

## Contact information

- **Practice address:** 2881 E OAKLAND PARK BLVD, SUITE 212, FORT LAUDERDALE, FL 33306
- **Practice address phone:** (304) 244-2843
- **Practice address fax:** (304) 244-2843
- **Mailing address:** 2881 E OAKLAND PARK BLVD STE 212, FORT LAUDERDALE, FL 33306-1813
- **Mailing address phone:** (304) 244-2843
- **Mailing address fax:** (304) 244-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 04/21/2026
