| NPI | 1851725964 |
|---|---|
| Doing Business As | VITALIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHRAF ASHAMALLA Co Owner/Manager 201-222-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28rs00726700) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-05-21 |