# DIVERSIFIED INFUSIONCARE SOLUTIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diversified InfusionCare Solutions Vital Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912925355
- **Authorized official:** STAN HAMILTON (PRESIDENT)
- **Authorized official phone:** (662) 320-9696

## Contact information

- **Practice address:** 823 HIGHWAY 12 W, SUITE E, STARKVILLE, MS 39759-3593
- **Practice address phone:** (662) 320-9696
- **Practice address fax:** (662) 320-9616
- **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 |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | 04633/02.1 | MS | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330522 | — | MS |
| 05 | — | 00440638 | — | MS |