| NPI | 1467105726 |
|---|---|
| Doing Business As | VITAL CARE OF EASTERN IDAHO |
| Entity Type | Organization |
| Authorized Contact | ROBERT GALERIA Owner 208-623-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-11-03 |