NPI | 1043520968 |
---|---|
Doing Business As | VITAL CARE RX |
Entity Type | Organization |
Authorized Contact | BRAD GILCHRIST COO 601-482-4003 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: LA 006322-IR) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 006322-IR) |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: LA 006322-IR) | |
333600000X Pharmacy (Licence: LA 6322) | |
Enumeration Date | 2010-10-13 |
Last Update Date | 2022-05-02 |