NPI | 1316958820 |
---|---|
Doing Business As | VYTO'S PHARMACY 1 |
Entity Type | Organization |
Authorized Contact | NATHAN JON DAMASIUS CEO/Pharm D 219-845-2900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.019616) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-10 |
Last Update Date | 2025-10-17 |