| NPI | 1013410737 |
|---|---|
| Other Name | VITAL CARE COMPOUNDER |
| Entity Type | Organization |
| Authorized Contact | MELISSA JAMES Director Of Operations 601-261-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MS 16882-1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-04-19 |