NPI 1245241363

Vitalstat, INC.

Organisation Specialty Pharmacy Albertville, AL

Practice location

Address: 103 Sand Mountain Dr NE, Albertville, AL 35950-1709
Phone: (256) 878-2111
Mailing address: PO Box 5047, Meridian, MS 39302-5047

Authorised official

Name: T Bishop
Title: Owner
Phone: (256) 878-2111

Registered specialties

Specialty Pharmacy Primary

Suppliers Taxonomy 3336S0011X Licence 111152 (AL)

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Registry record

NPI: 1245241363
Entity type: Organization
NPI issued: 11 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.