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Organization

CASCO BAY INFUSION, LLC

Active
Other names
Vital Care of Portland, ME
Organization subpart
No

Provider details

NPI number
Authorized official
NIK LAWRENCE PEREIRA-KAMATH (OWNER)
(207) 910-0771
Entity
Organization

Contact information

Practice address
10 DONALD B DEAN DR STE 3, SOUTH PORTLAND, ME 04106-3372
(207) 910-0771
(207) 910-0772
Mailing address
10 DONALD B DEAN DR STE 3, SOUTH PORTLAND, ME 04106-3372
(207) 910-0771
(207) 910-0772

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
07/31/2025
Last updated
07/31/2025
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