Vitasource Pharmacy LLC

NPI #1871168229 in Rosenberg, Texas

Provider Information

NPI Number: 1871168229
Entity Type: Organization
Organization Name: Vitasource Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: May 26, 2021
Last Updated: May 26, 2021

Practice Location

Address: 3806 AVENUE I STE 28
City: Rosenberg
State: Texas
ZIP Code: 77471-3951
Phone: (844) 744-0101

Authorized Official

Name: MR. SHAILENDRA GUPTA
Title: OFFICER
Phone: (844) 843-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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