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Contact Information

VITALIS VENTURES LLC
3330 N 2ND ST STE 401
PHOENIX, AZ85012-2371
 Phone: 602-606-9619
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Health Service

261QH0100X
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for VITALIS VENTURES LLC

NPI # 1144038035
LBN Legal business name VITALIS VENTURES LLC
Authorized official CHRISTOPHER MENDIAS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2024
Last updated 01/29/2025 - More than a year ago
Identifiers n/a
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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