Organization
LAB DISCOUNT DRUGS, INC.
Active
Other names
Vital Care of Waynesboro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN E. HUTTO (PRESIDENT)
(601) 735-4444
Entity
Organization
Contact information
Practice address
923 WAYNE ST, WAYNESBORO, MS 39367-2571
(601) 735-4444
(601) 735-5885
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01624/01.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
01624/01.1
MS
333600000X
Pharmacy
01624/01.1
MS
3336C0003X
Community/Retail Pharmacy
01624/01.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
01624/01.1
MS
3336L0003X
Long Term Care Pharmacy
01624/01.1
MS
3336M0002X
Mail Order Pharmacy
01624/01.1
MS
3336S0011X
Specialty Pharmacy
01624/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030052
BCBS OF MS
MS
05
—
00040343
—
MS
05
—
009203290
—
AL
05
—
100230047
—
AL
Enumeration date
11/06/2006
Last updated
01/16/2013
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