| NPI | 1770849424 |
|---|---|
| Doing Business As | VITASCRIPT PHARMACY & NUTRITION CENTER |
| Entity Type | Organization |
| Authorized Contact | RALPH LYNN SHUMAKE Pharmacist 888-248-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MD PW0213) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD PW0213) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD PW0213) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2015-06-04 |