NPI | 1316722630 |
---|---|
Doing Business As | VITAL CHOICE SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMIE FRY Owner 702-600-2896 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-08-25 |