Provider Demographics
NPI:1497445696
Name:VITACARE PRESCRIPTION SERVICES, INC
Entity Type:Organization
Organization Name:VITACARE PRESCRIPTION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-295-9880
Mailing Address - Street 1:951 YAMATO RD STE 160
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4432
Mailing Address - Country:US
Mailing Address - Phone:800-350-3819
Mailing Address - Fax:800-891-4320
Practice Address - Street 1:951 YAMATO RD STE 160
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4432
Practice Address - Country:US
Practice Address - Phone:800-350-3819
Practice Address - Fax:800-891-4320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy