Organization
VANTAGERX DISPENSING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MORRELL (DIRECTOR OF OPERATIONS)
(916) 807-4113
Entity
Organization
Contact information
Practice address
2200 DOUGLAS BLVD STE 100A, ROSEVILLE, CA 95661-3862
(877) 321-6337
(877) 321-6337
Mailing address
PO BOX 304, ROSEVILLE, CA 95661-0304
(877) 321-6337
(877) 321-6337
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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