| 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 | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |