Organization
ILERARX LLC
Active
Other names
Vital Care of College Station
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMUYIWA OLAOSUN (OWNER)
(979) 213-6267
Entity
Organization
Contact information
Practice address
2425 EARL RUDDER FWY S, COLLEGE STATION, TX 77845-6025
(979) 213-6265
(979) 213-6267
Mailing address
2425 EARL RUDDER FWY S, COLLEGE STATION, TX 77845-6025
(979) 213-6265
(979) 213-6267
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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