Organization
VITAL SYSTEMS OF OKLAHOMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI ANSON (BUSINESS MNGR)
(405) 376-9980
Entity
Organization
Contact information
Practice address
1218 E HIGHLINE LANE, MUSTANG, OK 73064-5133
(405) 376-9980
(405) 376-9981
Mailing address
1218 E HIGHLINE LANE, MUSTANG, OK 73064-5133
(405) 376-9980
(405) 376-9981
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
7470
OK
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100812300A
—
OK
05
—
100812300B
—
OK
Enumeration date
11/21/2006
Last updated
11/29/2023
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