Organization
CHARLESTON INFUSION SERVICES, LLC
Active
Other names
Vital Care of Charleston, WV
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD GILCHRIST (PHARMACY MANAGER)
(601) 482-4003
Entity
Organization
Contact information
Practice address
1260A GREENBRIER ST, CHARLESTON, WV 25311-1002
(304) 241-2340
(681) 238-2386
Mailing address
1260A GREENBRIER ST, CHARLESTON, WV 25311-1002
(304) 241-2340
(681) 238-2386
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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