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VEDIC PHARMACY LLC NPI 1700108115


NPI Information

NPI: 1700108115
Provider Name: VEDIC PHARMACY LLC

Doing Business As: HOLLY PARK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2271189

Address:
1620 MARTIN LUTHER KING JR BLVD STE 104
RALEIGH, NC
ZIP 27610
Phone: (919) 865-9993
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VEDIC PHARMACY LLC is a community/retail pharmacy pharmacy in Raleigh, NC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. VEDIC PHARMACY LLC NPI is 1700108115. The provider is registered as an organization entity type.
The provider Is Doing Business As Holly Park Pharmacy.

The provider's business location address is:

1620 MARTIN LUTHER KING JR BLVD STE 104
RALEIGH, NC
ZIP 27610-479
Phone: (919) 865-9993
Fax: (919) 865-9998

The provider's authorized official is Vipul Patel .
The authorized official title is Manager and has the following contact phone number (919) 865-9993.

The CLIA number assigned to this NPI record is 34D2271189 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2010 and was last updated on 6/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy11305NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12137288OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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