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NPI Code Detail

MEDICARE: VITA PHARMACY INC

MEDICARE: VITA 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1225979073
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITA PHARMACY INC
Provider Business Mailing Address
First Line : 9280 W SUNSET RD STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4861
Country : US
Telephone Number : 702-749-6263
Fax Number : 702-205-2625
Provider Business Practice Location Address
First Line : 9280 W SUNSET RD STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4861
Country : US
Telephone Number : 702-462-2615
Fax Number : 702-205-2625
Authorized Official
Title or Position : OWNER
Name : RAMY S MASSOUD
Credential :
Telephone Number : 702-749-6263
Provider Enumeration Date : 04/04/2026
Last Update Date : 04/08/2026

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Directions to “VITA PHARMACY INC ” Practice Location

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