Vita Pharmacy Llc

LBN: Vita Pharmacy Llc
Vita Pharmacy Llc is an health care organization with primary practice located at 5617 Belair Rd , Baltimore MD 21206-3619. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vita Pharmacy Llc can be contacted via phone (410) 325-1641, or through Chernyakovsky, Igor via phone (410) 325-1641.

Contact Information

Primary practice address
5617 Belair Rd Baltimore MD 21206-3619
Phone: (410) 325-1641
Fax: (410) 325-1642
Website:
Map and Directions
Authorized official contact:
Name: Chernyakovsky, Igor
Phone: (410) 325-1641

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PW0319 Maryland
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1841442019
LBN Legal business name Vita Pharmacy Llc
DBA Doing business as Vita Pharmacy Llc
Authorized official Chernyakovsky, Igor
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2008
Last updated Apr 6th, 2010 - about 14 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 1841442019 NPPES
Other 2134207 NCPDP PROVIDER IDENTIFICATION NUMBER

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