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NPI Code Detail

MEDICARE: VITAL STAR PHARMACY INC

MEDICARE: VITAL STAR PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336H0001XHome Infusion Therapy Pharmacy
43336C0003XCommunity/Retail Pharmacy31213TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12167470OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821535105
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAL STAR PHARMACY INC
Provider Business Mailing Address
First Line : 7207 REGENCY SQUARE BLVD
Second Line : SUITE 203
City : HOUSTON
State : TX
Zip : 77036-3188
Country : US
Telephone Number : 713-785-1960
Fax Number : 713-785-1969
Provider Business Practice Location Address
First Line : 7207 REGENCY SQUARE BLVD
Second Line : SUITE 203
City : HOUSTON
State : TX
Zip : 77036-3188
Country : US
Telephone Number : 713-785-1960
Fax Number : 713-785-1969
Authorized Official
Title or Position : OWNER
Name : VINCENT NWABEKE
Credential :
Telephone Number : 713-785-1960
Provider Enumeration Date : 01/25/2017
Last Update Date : 09/19/2025

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Directions to “VITAL STAR PHARMACY INC ” Practice Location

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