Organization
PRO LIFE APOTHECARY CORP
Active
Other names
VITAHEALTH APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RESTEPO RPH (SECRETARY)
(212) 628-1110
Entity
Organization
Contact information
Practice address
1235 1ST AVE, NEW YORK, NY 10065-6311
(212) 628-1110
(212) 628-1117
Mailing address
1235 1ST AVE, NEW YORK, NY 10065-6311
(212) 628-1110
(212) 628-1117
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027558
NY
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02779573
—
NY
01
—
2068111
PK
—
Enumeration date
08/18/2006
Last updated
02/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us