Organization
PATIENT CARE PHARMACY SERVICES, INC.
Active
Other names
Patient Care Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F KLEIN (PRESIDENT)
(941) 473-3200
Entity
Organization
Contact information
Practice address
1476 MARKET CIR, STE A, PORT CHARLOTTE, FL 33953-3876
(941) 473-3200
(941) 473-3209
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
PH 17469
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH 17469
FL
333600000X
Pharmacy
PH 17469
FL
3336C0003X
Community/Retail Pharmacy
PH17469
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH 17469
FL
3336L0003X
Long Term Care Pharmacy
PH17469
FL
3336M0002X
Mail Order Pharmacy
PH17469
FL
3336S0011X
Specialty Pharmacy
PH17469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022734000
—
FL
05
—
022734001
—
FL
Enumeration date
07/13/2006
Last updated
10/07/2009
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