NPI | 1215319892 |
---|---|
Doing Business As | CUMBERLAND VITAL CARE |
Entity Type | Organization |
Authorized Contact | LANDON HEADRICK Owner/PIC 931-456-0680 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
333600000X Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: TN 5708) | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2021-02-01 |