Organization Name: | DOCTOR'S PHARMACY-VITAL CARE, INC. |
NPI Number: | 1073617189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE KEENE (MANAGER) |
Mailing Address: | 613b East Lamar St Americus |
State: | GA US |
Postal Code: | 31709 |
Phone Number: | 2299289010 |
Fax Number: | 2299284477 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PHHH000018 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |