Organization
VITARB CORPORATION
Active
Parent organization
VITARB CORPORATION
Other names
UPRISE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITARB CORPORATION
Authorized official
DR. ROSE T OLOYEDE PHARMD (PRESIDENT (PHARMACIST IN CHARGE))
(432) 296-9080
Entity
Organization
Contact information
Practice address
6186B WILCREST DR, HOUSTON, TX 77072-1450
(281) 406-8790
(281) 258-4838
Mailing address
5614 W GRAND PKWY S STE 102-133, RICHMOND, TX 77406-5820
(432) 296-9080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150026
—
TX
Enumeration date
01/28/2019
Last updated
05/22/2020
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