| NPI | 1144248568 |
|---|---|
| Doing Business As | DIVERSIFIED INFUSIONCARE SOLUTIONS VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | STAN HAMILTON President 662-320-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: MS 04633/02.1) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |