Organization
VITALMEDRX
Active
Other names
Vitalmedrx
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LEMARR (OWNER)
(865) 803-1714
Entity
Organization
Contact information
Practice address
235 E MORRIS BLVD, MORRISTOWN, TN 37813-2342
(423) 289-1774
Mailing address
333 LOCHMERE DR, MORRISTOWN, TN 37814-2185
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
5043
TN
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141619
PK
—
Enumeration date
08/26/2013
Last updated
08/26/2013
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