Vitality Plus Pa

NPI 1750789301 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1750789301
Enumeration Date 12/15/2014
Last Updated 12/15/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL MICHAEL
Position DISPENSING PHYSICIAN
Phone (704) 334-6488
Fax
Practice Location
300 BILLINGSLEY RD
SUITE 204
CHARLOTTE NC, 28211-1075, US
Phone (704) 334-6488
Fax
Business Location
300 BILLINGSLEY RD
SUITE 204
CHARLOTTE NC, 28211-1075, US
Phone (704) 334-6488
Fax
Toxanomy
Taxonomy Code 332900000X
License State North Carolina
License Number 9400162
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According to our database, Vitality Plus Pa NPI is 1750789301, taxonomy code is 332900000X and license number is 9400162, license state is located at North Carolina. Vitality Plus Pa physically located at 300 Billingsley Rd, Charlotte NC, 28211-1075. NPI Number 1033115704 has the healthcare provider type.

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1750789301 NPI number is provided on an as is basis without warranty of any kind. 1750789301 is maintained by the National Plan & Provider Enumeration System. The contents of Vitality Plus Pa are for informational purposes only.