# SARTIN'S VITAL CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SARTIN'S VITAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790798999
- **Authorized official:** C SARTIN (OWNER)
- **Authorized official phone:** (228) 864-7056

## Contact information

- **Practice address:** 4300 15TH ST, SUITE A, GULFPORT, MS 39501-2524
- **Practice address phone:** (228) 864-7056
- **Mailing address:** PO BOX 5047, MERIDIAN, MS 39302-5047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 01681/01.1 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | 01681/01.1 | MS | — |
| 3336S0011X | Specialty Pharmacy | 01681/01.1 | MS | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00034748 | — | MS |
| 05 | — | 00040011 | — | MS |
| 01 | — | 53025 | BCBS HIT | LA |
| 01 | — | 606520 | TRIGON BCBS | MS |
| 01 | — | 73012424 | BCBS | AL |
