Vitality Compounding Pharmacy

LBN: Estonna Management Llc
Vitality Compounding Pharmacy is an health care organization with primary practice located at 3501 Health Center Blvd #1200, Bonita Springs FL 34135-8127. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Estonna Management Llc can be contacted via phone (239) 992-7633, or through Rutland, David via phone (239) 992-7633.

Contact Information

Primary practice address
3501 Health Center Blvd #1200 Bonita Springs FL 34135-8127
Fax: (239) 992-7896
Website:
Authorized official contact:
Name: Rutland, David RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH25954 Florida
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1760756316
LBN Legal business name Estonna Management Llc
DBA Doing business as Vitality Compounding Pharmacy
Authorized official Rutland, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2012
Last updated Jan 21st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760756316 NPPES
Other 2134226 PK

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