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Vital Life Pharmacy

Community/Retail Pharmacy in Boca Raton, FL · enumerated 2014 · authorized official Nicole Balarezo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699186353

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Registry record

Entity type Organization (Type 2)
Legal business name Vital Life Pharmacy
Practice address 6063 Sw 18th St, Bay 112, Boca Raton, FL, 33433
Enumeration date May 15, 2014
Last updated in NPPES May 15, 2014

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PH28149 (FL) Primary

Authorized official

Name Nicole Balarezo
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-05-15. Verify at npiregistry.cms.hhs.gov.
Where is Vital Life Pharmacy located?
The practice location on file with NPPES is in Boca Raton, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-15.