Vital Care Southwest Va, Inc

NPI 1811206915 - Pharmacy - 3336S0011X

NPI Details
NPI 1811206915
Enumeration Date 10/07/2010
Last Updated 10/07/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THERESA THERESA
Position PRESIDENT
Phone (276) 964-0555
Fax (276) 964-2999
Practice Location
305 OLD KENTUCKY TURNPIKE
CEDAR BLUFF VA, 24609, US
Phone (276) 964-0555
Fax (276) 964-2999
Business Location
PO BOX 5047
MERIDIAN MS, 39302, US
Phone (601) 482-7420
Fax (601) 482-7490
Toxanomy
Taxonomy Code 3336S0011X
License State Virginia
License Number 0201004074
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According to our database, Vital Care Southwest Va, Inc NPI is 1811206915, taxonomy code is 3336S0011X and license number is 0201004074, license state is located at Virginia. Vital Care Southwest Va, Inc physically located at 305 Old Kentucky Turnpike, Cedar Bluff VA, 24609. NPI Number 1033115704 has the healthcare provider type.

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1811206915 NPI number is provided on an as is basis without warranty of any kind. 1811206915 is maintained by the National Plan & Provider Enumeration System. The contents of Vital Care Southwest Va, Inc are for informational purposes only.