VITAL SHRED
1000 E Atlantic Blvd Ste 110
Pompano Beach, FL 33060
954-366-6519
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | FL | PH24210 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1051604 | OTHER |