Provider Demographics
NPI:1700490190
Name:VITAL RX CORP
Entity Type:Organization
Organization Name:VITAL RX CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAQSOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-588-4100
Mailing Address - Street 1:1252 SHAKESPEARE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-3012
Mailing Address - Country:US
Mailing Address - Phone:718-588-4100
Mailing Address - Fax:718-588-4200
Practice Address - Street 1:1252 SHAKESPEARE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3012
Practice Address - Country:US
Practice Address - Phone:718-588-4100
Practice Address - Fax:718-588-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy