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Contact Information

VITALAB PHARMACY INC
4045 E BELL RD
STE 163
PHOENIX, AZ85032-2236
 Phone: 602-971-6950
 Fax: 602-404-2504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion

251F00000X
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VITALAB PHARMACY INC

NPI # 1740314244
LBN Legal business name VITALAB PHARMACY INC
Authorized official KRISTINE LOWE - (PIC)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/15/2007
Last updated 09/19/2025 - About 9 months ago
Identifiers
AZ License # Y004706
AZ Medicaid 302331
Other 1988584 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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