Organization · Type 2 NPI
New Vitalis, LLC
Compounding Pharmacy · Louisville, KY
Practice location
4139 Cadillac Ct, Suite 201
Louisville, KY 40213-1578
Mailing address
9600 Brownsboro Rd, Suite 200
Louisville, KY 40241-3901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | P07786 (KY) |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
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- Michael Jesse Kellihan, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Louisville, KY NPI 1629528641
- Robert I. Orendorf, PTPhysical Therapist Louisville, KY NPI 1760607022
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About NPI 1801345111
New Vitalis, LLC's National Provider Identifier is 1801345111, issued on Sep 27, 2016. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Louisville, KY. The record was last updated on Sep 27, 2016.