Provider Demographics
NPI:1902502172
Name:VM PHARMACY LLC
Entity Type:Organization
Organization Name:VM PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACY OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAYLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENENDEZ CARABALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-927-8341
Mailing Address - Street 1:9000 NW 15TH STREET
Mailing Address - Street 2:UNITS 6 & 7
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172
Mailing Address - Country:US
Mailing Address - Phone:305-537-4778
Mailing Address - Fax:305-675-2448
Practice Address - Street 1:9000 NW 15TH STREET
Practice Address - Street 2:UNITS 6 & 7
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:305-505-7149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy