Provider Demographics
NPI:1285963280
Name:VN PHARMACY #2
Entity type:Organization
Organization Name:VN PHARMACY #2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-837-0804
Mailing Address - Street 1:5495 JIMMY CARTER BLVD
Mailing Address - Street 2:SUITE A-8
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1519
Mailing Address - Country:US
Mailing Address - Phone:770-559-1831
Mailing Address - Fax:770-837-0804
Practice Address - Street 1:5495 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE A-8
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1519
Practice Address - Country:US
Practice Address - Phone:770-559-1831
Practice Address - Fax:770-837-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0096013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy