<Unavail>

LBN: Custom Script Infusion Vital Care Llc
<Unavail> is an health care organization with primary practice located at 3738 Teays Valley Rd Suite B, Hurricane WV 25526-9705. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Custom Script Infusion Vital Care Llc can be contacted via phone (304) 543-3292, or through Wallace, Chad A via phone (304) 543-3292.

Contact Information

Primary practice address
3738 Teays Valley Rd Suite B Hurricane WV 25526-9705
Phone: (304) 543-3292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Chad A R.PH.
Phone: (304) 543-3292

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MP0552402 West Virginia
Suppliers / Parenteral & Enteral Nutrition 332BP3500X MP0552402 West Virginia
Suppliers / Pharmacy 333600000X MP0552402 West Virginia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X MP0552402 West Virginia
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1720320088
LBN Legal business name Custom Script Infusion Vital Care Llc
DBA Doing business as <Unavail>
Authorized official Wallace, Chad A R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2013
Last updated Dec 8th, 2014 - about 12 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.

Request for update

Popular Providers