Organization
VITAL RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FLEBOTTE (PIC/AUTHORIZED OFFICIAL)
(866) 209-5540
Entity
Organization
Contact information
Practice address
237 CAHABA VALLEY PKWY, PELHAM, AL 35124-1146
(866) 209-5540
Mailing address
237 CAHABA VALLEY PKWY, PELHAM, AL 35124-1146
(866) 209-5540
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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