NPI | 1144654245 |
---|---|
Doing Business As | VITALMEDRX |
Entity Type | Organization |
Authorized Contact | STEVE LEMARR Owner 865-803-1714 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TN 5043) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy | |
3336M0002X Pharmacy Mail Order Pharmacy | |
Enumeration Date | 2013-08-26 |
Last Update Date | 2013-08-26 |