Provider Demographics
NPI:1558984922
Name:VITORA VENTURES INC
Entity Type:Organization
Organization Name:VITORA VENTURES INC
Other - Org Name:QT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDELAZIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:KETANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-777-2004
Mailing Address - Street 1:PO BOX 472688
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75047-2688
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:138 W. CENTERVILLE RD # 100
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041
Practice Address - Country:US
Practice Address - Phone:972-271-0001
Practice Address - Fax:972-271-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy