Organization
VITA PHARMACY INC
Active
Other names
VITA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHAGVATIBEN PATEL (OWNER)
(217) 418-9581
Entity
Organization
Contact information
Practice address
279-281 W ELK TRAIL RD, CAROL STREAM, IL 60188
(630) 517-8023
(630) 517-8071
Mailing address
279-281 W ELK TRAIL RD, CAROL STREAM, IL 60188
(630) 517-8023
(630) 517-8071
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054.021162
STATE ISSUED PHARMACY LICENSE
IL
01
—
320.012979
STATE CONTROLL SUBSTANCE LICENSE
IL
Enumeration date
06/20/2019
Last updated
06/20/2019
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