A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Dietary Manager |
132700000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1518845114 |
| LBN Legal business name | VITALIS MILK, LLC |
| Authorized official | DALTON GADAL - (MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/22/2025 |
| Last updated | 03/27/2026 - About 2 months ago |
| Identifiers | n/a |
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