NPI 1518845114

Vitalis Milk, LLC

Organisation Non-Pharmacy Dispensing Site Henderson, NV

Practice location

Address: 6250 Mountain Vista St STE L-3d, Henderson, NV 89014-2320
Phone: (702) 482-9570

Authorised official

Name: Dalton Gadal
Title: Member
Phone: (702) 482-9570

Registered specialties (3)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Dietary Manager

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1518845114
Entity type: Organization
NPI issued: 22 Aug 2025
Record last updated: 15 Jun 2026

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.