| NPI | 1679910269 |
|---|---|
| Doing Business As | VITAL CARE OF CENTRAL MISSISSIPPI |
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGLAS HEGI President 769-798-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MS 12242/2.1) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 12242/2.1) |
| 333600000X Pharmacy (Licence: MS 06155081) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 12242/2.1) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MS 12242/2.1) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2019-10-09 |