Organization
VC PHARMACY PLLC
Active
Other names
VC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BABATUNDE OYEWUMI (CEO/OWNER)
(248) 618-3894
Entity
Organization
Contact information
Practice address
7300 HIGHLAND RD, WATERFORD, MI 48327-1508
(248) 618-3894
(947) 222-8976
Mailing address
12903 BEECH DALY RD, REDFORD, MI 48239-2781
(734) 833-4781
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011385
MI
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176636
PK
—
Enumeration date
04/27/2018
Last updated
12/17/2018
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