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
Phone: (239) 992-7633
Fax: (239) 992-7896
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760756316 | NPPES |
| Other | 2134226 | PK |
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