Burnham'S Vital Care Llc in Moss Point - Home Infusion Therapy Pharmacy
Burnham'S Vital Care Llc - NPI 1174693105
Burnham'S Vital Care Llc is a Home Infusion Therapy Pharmacy in Moss Point, Mississippi. Burnham'S Vital Care Llc practices all healthcare services and medical treatments related to Home Infusion Therapy Pharmacy. The NPI Number for Burnham'S Vital Care Llc is 1174693105. The last update date is 2022-12-12.
Burnham'S Vital Care Llc's current location address is 4931 Main St # B, Moss Point, Mississippi. You can contact this provider via phone number 2284744663 and fax number 2284747660. The mailing address for Burnham'S Vital Care Llc is 4931 Main St # B, Moss Point, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Burnham'S Vital Care Llc |
|---|---|
| Address | 4931 Main St # B, Moss Point, Mississippi |
| Phone Number | 2284744663 |
| Fax Number | 2284747660 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sartin Craig Alvin |
| Telephone Number | 2284744663 |
NPI Number Detail
| NPI Number | 1174693105 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 4931 Main St # B |
|---|---|
| City | Moss Point |
| State | Mississippi (MS) |
| Post Code | 395632746 |
| Phone Number | 2284744663 |
| Fax Number | 2284747660 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion Therapy Pharmacy |
|---|---|
| Taxonomy | 3336H0001X |
| Licence No | 5113021 |
|
Definition: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30050 | MS | BCBS OF MS | |
| 2577580 | MS | -- | |
| 1268160 | MS | -- | |
| 2520840 | NABP | ||
| 611333100 | MS | OWCP - DME |
Post Comment/ Review Below
What is the unique identifier code issued to Burnham'S Vital Care Llc by the Centers for Medicare & Medicaid Services?
The Burnham'S Vital Care Llc has been assigned the NPI (National Provider Identifier) 1174693105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Burnham'S Vital Care Llc?
The Burnham'S Vital Care Llc is situated at 4931 Main St # B, in the city of Moss Point, state of MS, with the zip code 395632746.
What is Burnham'S Vital Care Llc's area of expertise and its corresponding taxonomy classification?
The Burnham'S Vital Care Llc's field of specialization is Home Infusion Therapy Pharmacy, and it falls under the taxonomy code 3336H0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Burnham'S Vital Care Llc receive the assignment of its 1174693105 from the Centers for Medicare & Medicaid Services?
The Burnham'S Vital Care Llc was issued its 1174693105 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details related to Burnham'S Vital Care Llc most recently updated or revised?
The information pertaining to Burnham'S Vital Care Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-12.
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