| NPI | 1487410247 |
|---|---|
| Doing Business As | MEDVAULT COMPOUNDING & RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHINYERE NWEGBO CEO/PIC 470-377-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2025-10-09 |