| NPI | 1093397663 |
|---|---|
| Doing Business As | VITALITYRX |
| Entity Type | Organization |
| Authorized Contact | MARC ALAN WIENER CEO/President 516-464-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-02-07 |