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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 and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Infusion |
251F00000X | |||
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1699543652 |
| LBN Legal business name | GREAT LAKES VITALITY, LLC |
| Authorized official | BRIAN SCHMITT - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/19/2023 |
| Last updated | 12/19/2023 - About 2 years ago |
| Identifiers | n/a |
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GREAT LAKES VITALITY, LLC