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General NPI Number Information
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NPI Number | 1093614109
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Entity Type | Organization
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Legal Business Name | VITALIS DRUGS LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 3495 JOHN F KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07307-4119
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Country | US
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Telephone | 201-222-1800
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Fax | 201-222-1811
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Provider Business Mailing Address
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Address Line | 3495 JOHN F KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07307-4119
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Country | US
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Telephone | 201-222-1800
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Fax | 201-222-1811
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Authorized Official
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Title or Position | PHARMACIT IN CHARGE
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Name | REMON ENDRAWES
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Credential |
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Telephone | 201-222-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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