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General NPI Number Information
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NPI Number | 1689249526
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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 | 05/24/2021
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 7447 HARWIN DR STE 141
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City | HOUSTON
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State | TX
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Zip | 77036-2020
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Country | US
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Telephone | 832-879-2726
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Fax | 281-258-4838
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Provider Business Mailing Address
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Address Line | 7447 HARWIN DR STE 141
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City | HOUSTON
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State | TX
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Zip | 77036-2020
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Country | US
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Telephone | 832-879-2726
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Fax | 282-258-4838
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Authorized Official
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Title or Position | PIC
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Name | DR. ROSE T OLOYEDE
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Credential | PHARMD
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Telephone | 832-879-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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