Organization
VITALITY PLUS PA
Active
Organization
VITALITY PLUS PA
Active
Other names
Vitality Center of Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TROMBLEY (DISPENSING PHYSICIAN)
(704) 334-6488
Entity
Organization
Contact information
Practice address
300 BILLINGSLEY RD, SUITE 204, CHARLOTTE, NC 28211-1075
(704) 334-6488
Mailing address
300 BILLINGSLEY RD, SUITE 204, CHARLOTTE, NC 28211-1075
(704) 334-6488
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
9400162
NC
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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