Organization
VEDIC PHARMACY LLC
Active
Other names
Holly Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL (MANAGER)
(919) 865-9993
Entity
Organization
Contact information
Practice address
1620 MARTIN LUTHER KING JR BLVD STE 104, RALEIGH, NC 27610-3479
(919) 865-9993
(919) 865-9998
Mailing address
3058 WAKE FOREST RD, RALEIGH, NC 27609-7844
(919) 865-9993
(919) 865-9998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11305
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137288
PK
—
Enumeration date
02/26/2010
Last updated
06/07/2023
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