Lookup NPI Numbers from the NPI Registry
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
332800000X | 87 | All Other Suppliers | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1861842734 |
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| LBN Legal business name | VITAL LIFE INSTITUTE, LLC | ||||||||
| Authorized official | ANGELA RISTUCCIA - (PHARMACY MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/21/2016 | ||||||||
| Last updated | 12/06/2016 - About 10 years ago | ||||||||
| Identifiers |
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VITAL LIFE INSTITUTE, LLC