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General NPI Number Information
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NPI Number | 1821535105
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Entity Type | Organization
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Legal Business Name | VITAL STAR PHARMACY INC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 7207 REGENCY SQUARE BLVD SUITE 203
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City | HOUSTON
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State | TX
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Zip | 77036-3188
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Country | US
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Telephone | 713-785-1960
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Fax | 713-785-1969
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Provider Business Mailing Address
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Address Line | 7207 REGENCY SQUARE BLVD SUITE 203
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City | HOUSTON
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State | TX
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Zip | 77036-3188
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Country | US
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Telephone | 713-785-1960
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Fax | 713-785-1969
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT NWABEKE
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Credential |
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Telephone | 713-785-1960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31213
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License Number State | TX
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