# NYJ VITAL RX INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NYJ VITAL RX INCORPORATED
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811009756
- **Authorized official:** MICHAEL FRANKEL (OWNER)
- **Authorized official phone:** (847) 263-9277

## Contact information

- **Practice address:** 2310 GRAND AVE, WAUKEGAN, IL 60085-3313
- **Practice address phone:** (847) 263-9277
- **Practice address fax:** (847) 263-9274
- **Mailing address:** 2310 GRAND AVE, WAUKEGAN, IL 60085-3313
- **Mailing address phone:** (847) 263-9277
- **Mailing address fax:** (847) 263-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/24/2023