| NPI | 1780108704 |
|---|---|
| Doing Business As | VITALRX OF LOUISIANA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH TATE Director 337-304-9342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY007506-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-02-22 |