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Contact Information

VITAL CARE PHARMACY OF NORFOLK, INC.
120 N 27TH ST STE 200
NORFOLK, NE68701-3286
 Phone: 402-371-3444
 Fax: 402-371-3566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for VITAL CARE PHARMACY OF NORFOLK, INC.

NPI Number 1790706471
LBN Legal business name VITAL CARE PHARMACY OF NORFOLK, INC.
Authorized official MITCHELL DEINES - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2006
Last updated 06/03/2021 - About 5 years ago
Identifiers
NE Medicaid 68053858100
Other 2816544 NCPDP
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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