Organization
SUNCOAST VITAL CARE INC
Active
Organization
SUNCOAST VITAL CARE INC
Active
Other names
SUNCOAST VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG AMIN (PHARMACIST)
(352) 686-1866
Entity
Organization
Contact information
Practice address
5330 SPRING HILL DR, STE E, SPRING HILL, FL 34606-4543
(352) 686-1866
(352) 686-1840
Mailing address
5330 SPRING HILL DR, STE E, SPRING HILL, FL 34606-4543
(352) 686-1866
(325) 686-1840
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH11906
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH11906
FL
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000483800
MEDICAID PHARMACY
FL
01
—
000483801
MEDICAID DME
FL
01
—
1078559
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/14/2006
Last updated
06/18/2010
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