| NPI | 1790163095 |
|---|---|
| Doing Business As | VITAL MED PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID KHANIMOV President 718-544-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2025-07-29 |