| NPI | 1306277397 |
|---|---|
| Doing Business As | DRUID CITY VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | LOGAN DAVIS Owner 601-482-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AL 114274) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 114274) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 114274) | |
| 333600000X Pharmacy (Licence: AL 114274) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AL 114274) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-07-10 |