Organization
NEWPATH VITAL RX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NISHA JANI (PIC)
(224) 656-5797
Entity
Organization
Contact information
Practice address
425 LAKE ST STE A, ANTIOCH, IL 60002-1464
(224) 788-8557
(224) 788-8798
Mailing address
425 LAKE ST STE A, ANTIOCH, IL 60002-1464
(224) 788-8557
(224) 788-8798
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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