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Contact Information

NUTRAVITA, LLC
1560 FARMER RD NW
CONYERS, GA30012-3491
 Phone: 770-922-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NUTRAVITA, LLC

NPI # 1073839320
LBN Legal business name NUTRAVITA, LLC
Authorized official NIKHIL PATEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2010
Last updated 07/16/2019 - About 7 years ago
Identifiers
GA License # PHRE009650
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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