Organization
VITALIS DRUGS LLC
Active
Other names
Vitalis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REMON ENDRAWES RPH (PHARMACIST IN CHARGE)
(201) 222-1800
Entity
Organization
Contact information
Practice address
3495 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-4119
(201) 222-1800
(201) 222-1811
Mailing address
3495 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-4119
(201) 222-1800
(201) 222-1811
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00726700
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0605590
—
NJ
01
—
2141572
PK
—
Enumeration date
08/26/2013
Last updated
03/06/2026
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