Organization
PHARMACY PLUS INFUSION SERVICES OF HATTIESBURG, INC.
Active
Other names
VITAL CARE INFUSION SERVICES OF HATTIESBURG
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY JAMES PT, CPHT (DIRECTOR OF OPERATIONS)
(601) 261-0503
Entity
Organization
Contact information
Practice address
163 TURTLE CREEK DR STE 130, HATTIESBURG, MS 39402-1268
(601) 261-0503
Mailing address
163 TURTLE CREEK DR STE 130, HATTIESBURG, MS 39402-1268
(601) 602-2238
(601) 475-7840
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
04427/02.0
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
04427/02.0
MS
333600000X
Pharmacy
04427/02.0
MS
3336C0003X
Community/Retail Pharmacy
04427/02.0
MS
3336H0001X
Home Infusion Therapy Pharmacy
Primary
04427/02.0
MS
3336L0003X
Long Term Care Pharmacy
04427/02.0
MS
3336M0002X
Mail Order Pharmacy
04427/02.0
MS
3336S0011X
Specialty Pharmacy
04427/02.0
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030051
BCBS OF MS
MS
05
—
00330185
—
MS
05
—
00440592
—
MS
Enumeration date
08/12/2006
Last updated
08/19/2021
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