Vitalis Pharmacy
LBN: Vitalis Drugs Llc
Vitalis Pharmacy is an health care organization with primary practice located at 3495 John F Kennedy Blvd , Jersey City NJ 07307-4119. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vitalis Drugs Llc can be contacted via phone (201) 222-1800, or through Ashamalla, Ashraf via phone (201) 222-1800.
Contact Information
Primary practice address
3495 John F Kennedy Blvd
Jersey City NJ 07307-4119
Phone: (201) 222-1800
Fax: (201) 222-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00726700 | New Jersey |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1851725964 |
|---|---|
| LBN Legal business name | Vitalis Drugs Llc |
| DBA Doing business as | Vitalis Pharmacy |
| Authorized official | Ashamalla, Ashraf RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2013 |
| Last updated | May 21st, 2021 - about 3 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 | 1851725964 | NPPES |
| New Jersey | MEDICAID | 0605590 | |
| New Jersey | Other | 2141572 |
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