Organization
VITAL RX CORP
Active
Other names
Shakespeare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA M REYES-GAVARETTE (PRESIDENT)
(718) 588-4100
Entity
Organization
Contact information
Practice address
1252 SHAKESPEARE AVE, BRONX, NY 10452-3012
(718) 588-4100
(718) 588-4200
Mailing address
1252 SHAKESPEARE AVE, BRONX, NY 10452-3012
(718) 588-4100
(718) 588-4200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
06/05/2024
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