Organization
YES VITAL RX INC
Active
Other names
YES VITAL RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA JANI (OWNER)
(224) 656-5797
Entity
Organization
Contact information
Practice address
1817 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(224) 656-5797
(224) 656-5704
Mailing address
1817 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(224) 656-5797
(224) 656-5704
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054019563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157271
PK
—
Enumeration date
12/10/2010
Last updated
01/07/2025
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