Organization
CINERGY PHARMACY LLC
Active
Other names
Vital Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TASHIMA KENNY (MANAGER)
(407) 757-0567
Entity
Organization
Contact information
Practice address
2116 S ORANGE AVE, SUITE B, ORLANDO, FL 32806-3055
(407) 757-0567
(855) 274-0569
Mailing address
2116 S ORANGE AVE, SUITE B, ORLANDO, FL 32806-3055
(407) 757-0567
(855) 274-0569
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
NP000008
PA
3336C0003X
Community/Retail Pharmacy
Primary
PH26616
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141577
PK
—
Enumeration date
01/10/2013
Last updated
10/21/2016
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