| NPI | 1861842734 |
|---|---|
| Doing Business As | VITALRX |
| Entity Type | Organization |
| Authorized Contact | ANGELA RISTUCCIA Pharmacy Manager 941-388-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH30105) |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-12-06 |