Vitality Pharmacy

LBN: Vitality Rx
Vitality Pharmacy is an health care organization with primary practice located at 210 Blue Ravine Rd Ste 170 , Folsom CA 95630-4796. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Vitality Rx can be contacted via phone (916) 293-8687, or through Ton, Nhatduy via phone (916) 293-8687.

Contact Information

Primary practice address
210 Blue Ravine Rd Ste 170 Folsom CA 95630-4796
Phone: (916) 293-8687
Fax: (916) 293-8637
Website:
Map and Directions
Authorized official contact:
Name: Ton, Nhatduy PHARM.D.
Phone: (916) 293-8687

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1649782541
LBN Legal business name Vitality Rx
DBA Doing business as Vitality Pharmacy
Authorized official Ton, Nhatduy PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2017
Last updated Feb 1st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649782541 NPPES
California MEDICAID 1649782541

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