Nutravita, Llc

NPI 1073839320 - Pharmacy - 3336L0003X

NPI Details
NPI 1073839320
Enumeration Date 04/12/2010
Last Updated 09/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name NIKHIL M NIKHIL
Position PRESIDENT
Phone (770) 922-4466
Fax
Practice Location
1560 FARMER RD NW
CONYERS GA, 30012-3491, US
Phone (770) 922-4466
Fax
Business Location
1560 FARMER RD NW
CONYERS GA, 30012-3491, US
Phone (770) 922-4466
Fax
Toxanomy
Taxonomy Code 3336L0003X
License State Georgia
License Number PHRE009650
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According to our database, Nutravita, Llc NPI is 1073839320, taxonomy code is 3336L0003X and license number is PHRE009650, license state is located at Georgia. Nutravita, Llc physically located at 1560 Farmer Rd Nw, Conyers GA, 30012-3491. NPI Number 1033115704 has the healthcare provider type.

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1073839320 NPI number is provided on an as is basis without warranty of any kind. 1073839320 is maintained by the National Plan & Provider Enumeration System. The contents of Nutravita, Llc are for informational purposes only.