Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CARMICHAELS VITAL CARE PHARMACY INC
Active
Organization
CARMICHAELS VITAL CARE PHARMACY INC
Active
Other names
Carmichael's Vital Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA HICKMAN (OWNER)
(770) 267-2559
Entity
Organization
Contact information
Practice address
150-D MLK JR. BLVD, MONROE, GA 30655
(770) 266-2937
(770) 207-5886
Mailing address
150-D MLK JR. BLVD, MONROE, GA 30655
(770) 266-2937
(770) 207-5886
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
000045
GA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121867
PK
—
Enumeration date
08/25/2009
Last updated
05/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers