Vitasource Pharmacy Llc

LBN: Vitasource Pharmacy Llc
Vitasource Pharmacy Llc is an health care organization with primary practice located at 3806 Avenue I Ste 28 , Rosenberg TX 77471-3951. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Vitasource Pharmacy Llc can be contacted via phone (844) 744-0101, or through Gupta, Shailendra via phone (844) 843-0101.

Contact Information

Primary practice address
3806 Avenue I Ste 28 Rosenberg TX 77471-3951
Fax: (844) 744-0101
Website:
Authorized official contact:
Name: Gupta, Shailendra

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871168229
LBN Legal business name Vitasource Pharmacy Llc
DBA Doing business as
Authorized official Gupta, Shailendra
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2021
Last updated May 26th, 2021 - about 4 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 1871168229 NPPES
Texas Other 33786 TEXAS STATE BOARD OF PHARMACY

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