Vital Care Compounder

LBN: Pharmacy Plus, Inc.
Vital Care Compounder is an health care organization with primary practice located at 115 S 40Th Ave Suite A, Hattiesburg MS 39402-6600. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Pharmacy Plus, Inc. can be contacted via phone (601) 261-0503, or through James, Melissa via phone (601) 261-0503.

Contact Information

Primary practice address
115 S 40Th Ave Suite A Hattiesburg MS 39402-6600
Fax: (601) 261-0127
Website:
Authorized official contact:
Name: James, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 16882-1.1 Mississippi

Profile Details

NPI number 1013410737
LBN Legal business name Pharmacy Plus, Inc.
DBA Doing business as Vital Care Compounder
Authorized official James, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2018
Last updated Apr 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013410737 NPPES
Other 2176612 PK
MEDICAID PENDING PK

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