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General NPI Number Information
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NPI Number | 1487118147
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Entity Type | Organization
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Legal Business Name | VITARB CORPORATION
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 6186B WILCREST DR
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City | HOUSTON
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State | TX
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Zip | 77072-1450
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Country | US
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Telephone | 281-406-8790
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Fax | 281-258-4838
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Provider Business Mailing Address
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Address Line | 5614 W GRAND PKWY S STE 102-133
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City | RICHMOND
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State | TX
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Zip | 77406-5820
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Country | US
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Telephone | 432-296-9080
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Fax |
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Authorized Official
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Title or Position | PRESIDENT (PHARMACIST IN CHARGE)
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Name | DR. ROSE T OLOYEDE
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Credential | PHARMD
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Telephone | 432-296-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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