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Organization

VITALIS MILK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DALTON GADAL (MEMBER)
(702) 482-9570
Entity
Organization

Contact information

Practice address
1835 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-1971
(702) 482-9570
Mailing address
1835 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-1971

Taxonomy

Speciality
Code
Description
License number
State
132700000X
Dietary Manager
332900000X
Non-Pharmacy Dispensing Site
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
08/22/2025
Last updated
03/27/2026
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