NPI | 1043687882 |
---|---|
Doing Business As | DRUID CITY VITAL CARE |
Entity Type | Organization |
Authorized Contact | LOGAN DAVIS Co Owner 601-703-2363 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-08-27 |
Last Update Date | 2018-11-08 |