Custom Script Infusion Vital Care LLC
NPI #1720320088 in Hurricane, West Virginia
Provider Information
- NPI Number
- 1720320088
- Entity Type
- Organization
- Organization Name
- Custom Script Infusion Vital Care LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 25, 2013
- Last Updated
- Dec 8, 2014
Practice Location
- Address
- 3738 TEAYS VALLEY RD
- Address 2
- SUITE B
- City
- Hurricane
- State
- West Virginia
- ZIP Code
- 25526-9705
- Phone
- (304) 543-3292
Authorized Official
- Name
- CHAD A WALLACE, R.PH.
- Title
- VP OPERATIONS
- Phone
- (304) 543-3292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Pharmacy |
| Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy |
| Durable Medical Equipment & Medical Supplies |
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