Organization
VITALGUARD PHARMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN REEVES HAMILL (CEO)
(414) 307-4834
Entity
Organization
Contact information
Practice address
4554 N 126TH ST, BUTLER, WI 53007-2107
(414) 307-4834
Mailing address
4554 N 126TH ST, BUTLER, WI 53007-2107
(414) 307-4834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
10/24/2025
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