Provider Demographics
NPI:1689249526
Name:VITARB CORPORATION
Entity Type:Organization
Organization Name:VITARB CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:T
Authorized Official - Last Name:OLOYEDE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-879-2726
Mailing Address - Street 1:7447 HARWIN DR STE 141
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2020
Mailing Address - Country:US
Mailing Address - Phone:832-879-2726
Mailing Address - Fax:282-258-4838
Practice Address - Street 1:7447 HARWIN DR STE 141
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2020
Practice Address - Country:US
Practice Address - Phone:832-879-2726
Practice Address - Fax:281-258-4838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy