Vital Life Pharmacy

LBN: Military Apothecary Lp
Vital Life Pharmacy is an health care organization with primary practice located at 418 N Loop 1604 W Ste 104 , San Antonio TX 78232-1456. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Military Apothecary Lp can be contacted via phone (210) 802-0553, or through Chhadua, Raj Milan via phone (214) 422-2598.

Contact Information

Primary practice address
418 N Loop 1604 W Ste 104 San Antonio TX 78232-1456
Phone: (210) 802-0553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chhadua, Raj Milan PHARMD
Phone: (214) 422-2598

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 24371 Texas

Profile Details

NPI number 1669487286
LBN Legal business name Military Apothecary Lp
DBA Doing business as Vital Life Pharmacy
Authorized official Chhadua, Raj Milan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 14th, 2023 - about last year

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 1669487286 NPPES
Other 4540399 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 145643 NCPDP PROVIDER IDENTIFICATION NUMBER
Other 32470 NCPDP PROVIDER IDENTIFICATION NUMBER

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