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Contact Information

REISZ PHARMACEUTICALS VITAL CARE, INC.
2315 MAYFAIR DR
MAYFAIR SQUARE PROFESSIONAL BUILDING
OWENSBORO, KY42301-4557
 Phone: 270-683-7379
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for REISZ PHARMACEUTICALS VITAL CARE, INC.

NPI # 1952312449
LBN Legal business name REISZ PHARMACEUTICALS VITAL CARE, INC.
Authorized official E REISZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
KY License # P02023
KY Medicaid 54029384
KY Medicaid 90140302
Other 61128006 CHAMPUS/TRICARE
Other 1445572 UMWA
KY Other 000000069966 BCBS
TN Other 4055675 BCBS, NON-PAR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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