Organization
VITALITY RX
Active
Other names
Vitality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NHATDUY TON PHARM.D (CEO/PIC)
(916) 293-8687
Entity
Organization
Contact information
Practice address
210 BLUE RAVINE RD STE 170, FOLSOM, CA 95630-4796
(916) 293-8687
(916) 293-8687
Mailing address
210 BLUE RAVINE RD STE 170, FOLSOM, CA 95630-4796
(916) 293-8687
(916) 293-8687
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649782541
—
CA
Enumeration date
11/04/2019
Last updated
02/01/2022
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