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VITAL LIFE INSTITUTE LLC NPI 1861842734


NPI Information

NPI: 1861842734
Provider Name: VITAL LIFE INSTITUTE, LLC

Doing Business As: VITALRX

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1618 MAIN ST
SARASOTA, FL
ZIP 34236
Phone: (941) 388-0800
Get Directions

VITAL LIFE INSTITUTE, LLC is a compounding pharmacy pharmacy in Sarasota, FL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. VITAL LIFE INSTITUTE, LLC NPI is 1861842734. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitalrx.

The provider's business location address is:

1618 MAIN ST
SARASOTA, FL
ZIP 34236-811
Phone: (941) 388-0800
Fax: (941) 388-0810

The provider's authorized official is Angela Ristuccia .
The authorized official title is Pharmacy Manager and has the following contact phone number (941) 388-0800.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 12/6/2016.


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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336C0004XPharmacyCompounding PharmacyPH30105FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12162504OTHERPK

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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