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Organization
VITAL FACTOR INC
Active
Organization
VITAL FACTOR INC
Active
Other names
Westbury Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT JAMES FUSARO RPH (PHARMCIST/ PRESIDENT)
(516) 333-1019
Entity
Organization
Contact information
Practice address
247-3 POST AVE., WESTBURY, NY 11590
(516) 333-1019
(516) 333-2279
Mailing address
247-3 POST AVE., WESTBURY, NY 11590
(516) 333-1019
(516) 333-2279
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
024735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02655847
—
NY
Enumeration date
08/02/2006
Last updated
02/05/2008
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