Organization
TWIN STATES INFUSION, LLC
Active
Other names
North Mississippi Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN E DAVIS (MAJORITY MEMBER)
(601) 482-7420
Entity
Organization
Contact information
Practice address
146 S THOMAS ST STE B, TUPELO, MS 38801-5328
(662) 260-3366
Mailing address
146 S THOMAS ST STE B, TUPELO, MS 38801-5328
(662) 260-3366
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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