Medicine Mart Vital Care
LBN: Twin States Vital Care, Inc.
Medicine Mart Vital Care is an health care organization with primary practice located at 218B S Main St , Tabor City NC 28463-1904. 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.
Twin States Vital Care, Inc. can be contacted via phone (910) 653-6169, or through Koonce, Sterling Grady via phone (910) 653-6169.
Contact Information
Primary practice address
218B S Main St
Tabor City NC 28463-1904
Phone: (910) 653-6169
Fax: (910) 653-6078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 2627-IR | Louisiana |
| Suppliers / Customized Equipment | 332BC3200X | 2627-IR | Louisiana |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 2627-IR | Louisiana |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 2627-IR | Louisiana |
| Suppliers / Pharmacy | 333600000X | 2627-IR | Louisiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2627-IR | Louisiana |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 2627-IR | Louisiana |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2627-IR | Louisiana |
| Suppliers / Mail Order Pharmacy | 3336M0002X | 2627-IR | Louisiana |
| Suppliers / Specialty Pharmacy | 3336S0011X | 2627-IR | Louisiana |
Profile Details
| NPI number | 1467568337 |
|---|---|
| LBN Legal business name | Twin States Vital Care, Inc. |
| DBA Doing business as | Medicine Mart Vital Care |
| Authorized official | Koonce, Sterling Grady |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467568337 | NPPES |
| North Carolina | MEDICAID | 6800472 | |
| North Carolina | MEDICAID | 7703531 | |
| North Carolina | MEDICAID | 7N7828 | |
| North Carolina | MEDICAID | 0245837 | |
| North Carolina | MEDICAID | DE2065 |
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