| NPI | 1801947791 |
|---|---|
| Doing Business As | VITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BASSAM TAYSIR HAMMOUD Pharmacist In Charge 313-274-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5401005762) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-03-14 |