Provider Demographics
NPI:1386774123
Name:VCP OHIO II, LLC
Entity type:Organization
Organization Name:VCP OHIO II, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MANDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-407-5365
Mailing Address - Street 1:9820 WINDISCH RD.
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3806
Mailing Address - Country:US
Mailing Address - Phone:513-407-5365
Mailing Address - Fax:513-407-5382
Practice Address - Street 1:9820 WINDISCH RD.
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3806
Practice Address - Country:US
Practice Address - Phone:513-407-5365
Practice Address - Fax:513-407-5382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-1678300 006343336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy