| NPI | 1982384772 |
|---|---|
| Doing Business As | VITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BELLAVIA Supervising Pharmacist 716-923-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |