| NPI | 1225920168 |
|---|---|
| Doing Business As | VITAL CARE OF GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | MAX BLOOMQUIST Owner 616-280-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-18 |