Organization
SARTIN'S VITAL CARE INC
Active
Other names
SARTIN'S VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
C SARTIN (OWNER)
(228) 864-7056
Entity
Organization
Contact information
Practice address
4300 15TH ST, SUITE A, GULFPORT, MS 39501-2524
(228) 864-7056
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
01681/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034748
—
MS
05
—
00040011
—
MS
01
—
53025
BCBS HIT
LA
01
—
606520
TRIGON BCBS
MS
01
—
73012424
BCBS
AL
Enumeration date
08/15/2006
Last updated
08/22/2020
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