Organization
PHARMACY PLUS, INC.
Active
Other names
Vital Care Compounder
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JAMES (DIRECTOR OF OPERATIONS)
(601) 261-0503
Entity
Organization
Contact information
Practice address
115 S 40TH AVE, SUITE A, HATTIESBURG, MS 39402-6600
(601) 261-0503
(601) 261-0127
Mailing address
115 S 40TH AVE, SUITE A, HATTIESBURG, MS 39402-6600
(601) 261-0503
(601) 261-0127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
16882-1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176612
PK
—
05
—
PENDING
—
MS
Enumeration date
03/09/2018
Last updated
04/19/2018
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