| NPI | 1720609977 |
|---|---|
| Doing Business As | VITALEDGE INFUSIONS |
| Entity Type | Organization |
| Authorized Contact | JACOB RYAN O'KEEFE Clinical Pharmacist 228-424-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |