Provider Demographics
NPI:1699355909
Name:VIT, FRANK (CPHT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:VIT
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6322
Mailing Address - Country:US
Mailing Address - Phone:443-760-1519
Mailing Address - Fax:
Practice Address - Street 1:5405 LYNX LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2374
Practice Address - Country:US
Practice Address - Phone:410-740-7273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-11
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30159704183700000X
183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician