Vital Care Of Oxford

LBN: Super D Drug Acquisition Co., Inc.
Vital Care Of Oxford is an health care organization with primary practice located at 1201 Office Park Dr Suite 2, Oxford MS 38655-3598. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Super D Drug Acquisition Co., Inc. can be contacted via phone (662) 234-7666, or through Boone, Gary via phone (662) 234-7666.

Contact Information

Primary practice address
1201 Office Park Dr Suite 2 Oxford MS 38655-3598
Phone: (662) 234-7666
Fax: (662) 236-1211
Website:
Map and Directions
Authorized official contact:
Name: Boone, Gary
Phone: (662) 234-7666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 04340/02.1 Mississippi
Suppliers / Customized Equipment 332BC3200X 04340/02.1 Mississippi
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 04340/02.1 Mississippi
Suppliers / Oxygen Equipment & Supplies 332BX2000X 04340/02.1 Mississippi
Suppliers / Pharmacy 333600000X 04340/02.1 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X 04340/02.1 Mississippi
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 04340/02.1 Mississippi
Suppliers / Long Term Care Pharmacy 3336L0003X 04340/02.1 Mississippi
Suppliers / Mail Order Pharmacy 3336M0002X 04340/02.1 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X 04340/02.1 Mississippi

Profile Details

NPI number 1881629780
LBN Legal business name Super D Drug Acquisition Co., Inc.
DBA Doing business as Vital Care Of Oxford
Authorized official Boone, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1881629780 NPPES
Mississippi MEDICAID 00330376
Mississippi MEDICAID 00040337
Mississippi Other 640870044003

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