Organization
MIRACLE INFUSION AND SPECIALTY PHARMACY, INC.
Active
Other names
Vital Care of Princeton
Organization subpart
No
Provider details
NPI number
Authorized official
ASMA SURAYYA (MANAGER)
(732) 487-2311
Entity
Organization
Contact information
Practice address
1527 STATE ROUTE 27 STE 1300, SOMERSET, NJ 08873-3905
(732) 487-2311
(732) 487-2340
Mailing address
1527 STATE ROUTE 27 STE 1300, SOMERSET, NJ 08873-3905
(732) 487-2311
(732) 487-2340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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