# PATIENT CARE PHARMACY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patient Care Vital Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194740902
- **Authorized official:** MICHAEL F KLEIN (PRESIDENT)
- **Authorized official phone:** (941) 473-3200

## Contact information

- **Practice address:** 1476 MARKET CIR, STE A, PORT CHARLOTTE, FL 33953-3876
- **Practice address phone:** (941) 473-3200
- **Practice address fax:** (941) 473-3209
- **Mailing address:** PO BOX 5047, MERIDIAN, MS 39302-5047
- **Mailing address phone:** (800) 447-4095
- **Mailing address fax:** (601) 482-7490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH 17469 | FL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | PH 17469 | FL | — |
| 333600000X | Pharmacy | PH 17469 | FL | — |
| 3336C0003X | Community/Retail Pharmacy | PH17469 | FL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | PH 17469 | FL | — |
| 3336L0003X | Long Term Care Pharmacy | PH17469 | FL | — |
| 3336M0002X | Mail Order Pharmacy | PH17469 | FL | — |
| 3336S0011X | Specialty Pharmacy | PH17469 | FL | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 10/07/2009
