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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VITALAB PHARMACY INC

NPI Number 1598216467
LBN Legal business name VITALAB PHARMACY INC
Authorized official PAUL VASILIAUSKAS - (SR.V.P. BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/17/2016
Last updated 09/22/2020 - About 6 years ago
Identifiers
AZ License # Y004706
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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