# VINIULTRARX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326722083
- **Authorized official:** VINI PATEL (MEMBER)
- **Authorized official phone:** (301) 569-6464

## Contact information

- **Practice address:** 12619 WISTERIA DR STE A, GERMANTOWN, MD 20874-5259
- **Practice address phone:** (301) 569-6464
- **Practice address fax:** (301) 407-1610
- **Mailing address:** 12619 WISTERIA DR STE A, GERMANTOWN, MD 20874-5259
- **Mailing address phone:** (301) 569-6464
- **Mailing address fax:** (301) 407-1610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2023
- **Last updated:** 10/02/2023