Organization
ELY HOME INFUSION INC.
Active
Other names
Vital Care of Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS HUDNALL R.PH. (PRESIDENT)
(270) 651-5159
Entity
Organization
Contact information
Practice address
620 PERIMETER DR STE 105, LEXINGTON, KY 40517-4125
(859) 268-0080
(859) 268-0083
Mailing address
620 PERIMETER DR STE 105, LEXINGTON, KY 40517-4125
(859) 268-0080
(859) 268-0083
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
P07503
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134817
PK
—
Enumeration date
08/31/2006
Last updated
05/19/2025
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