# VANTAGERX DISPENSING SERVICES, LLC

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

## Provider details

- **NPI number:** 1982889812
- **Authorized official:** MR. JOSEPH MORRELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (916) 807-4113

## Contact information

- **Practice address:** 2200 DOUGLAS BLVD STE 100A, ROSEVILLE, CA 95661-3862
- **Practice address phone:** (877) 321-6337
- **Practice address fax:** (877) 321-6337
- **Mailing address:** PO BOX 304, ROSEVILLE, CA 95661-0304
- **Mailing address phone:** (877) 321-6337
- **Mailing address fax:** (877) 321-6337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/09/2008
