| NPI | 1710486410 |
|---|---|
| Doing Business As | VITAL RX |
| Entity Type | Organization |
| Authorized Contact | JASON FLEBOTTE Pharmacist In Charge 866-209-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AL 114629) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |