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Organization
VAULT PHARMACEUTICALS
Active
Organization
VAULT PHARMACEUTICALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CLURMAN PHARMD (OWNER)
(352) 777-4260
Entity
Organization
Contact information
Practice address
3167 PREMIER DR, BROOKSVILLE, FL 34604-8305
(352) 777-4260
Mailing address
3167 PREMIER DR, BROOKSVILLE, FL 34604-8305
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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