NPI | 1851138374 |
---|---|
Doing Business As | VITAL CARE OF PEORIA |
Entity Type | Organization |
Authorized Contact | NHUNG DANG Owner/PIC 309-916-9099 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
251F00000X Home Infusion | |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2024-07-11 |
Last Update Date | 2025-05-19 |