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VITALITY PLUS PA NPI 1750789301


NPI Information

NPI: 1750789301
Provider Name: VITALITY PLUS PA

Doing Business As: VITALITY CENTER OF CHARLOTTE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 34D2044711

Address:
300 BILLINGSLEY RD
SUITE 204
CHARLOTTE, NC
ZIP 28211
Phone: (704) 334-6488
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VITALITY PLUS PA is a non pharmacy dispensing site in Charlotte, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) VITALITY PLUS PA NPI is 1750789301. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitality Center Of Charlotte.

The provider's business location address is:

300 BILLINGSLEY RD
SUITE 204
CHARLOTTE, NC
ZIP 28211-075
Phone: (704) 334-6488

The provider's authorized official is Michael Trombley .
The authorized official title is Dispensing Physician and has the following contact phone number (704) 334-6488.

The CLIA number assigned to this NPI record is 34D2044711 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 12/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site9400162NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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