National Provider Identifier Database

VITAL LIFE INSTITUTE LLC
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

VITAL LIFE INSTITUTE, LLC
1618 MAIN ST
SARASOTA, FL34236-5811
Phone: 941-388-0800
Fax: 941-388-0810
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X
Community/Retail Pharmacy 3336C0003X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for VITAL LIFE INSTITUTE, LLC

NPI Number 1861842734
Legal business name
LBN
VITAL LIFE INSTITUTE, LLC
Authorized official ANGELA RISTUCCIA - (PHARMACY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/21/2016
Last updated 12/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH30105
  • Other: 2162504 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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