| NPI | 1760756316 |
|---|---|
| Doing Business As | VITALITY COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID RUTLAND Owner 239-992-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25954) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2014-01-21 |