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Organization

VITA MEDICORP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SRIKANTH REDDY MOLAKATALLA (BUSINESS OWNER)
(214) 709-1123
Entity
Organization

Contact information

Practice address
2020 W 3RD ST STE 302, LITTLE ROCK, AR 72205-4464
(214) 709-1123
Mailing address
2020 W 3RD ST STE 302, LITTLE ROCK, AR 72205-4464
(214) 709-1123

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/28/2024
Last updated
09/20/2024
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