Organization
ADVANCED INFUSION, LLC
Active
Other names
Vital Care Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A. KODMAN (MANAGING MEMBER)
(724) 463-9300
Entity
Organization
Contact information
Practice address
1881 SWAMP PIKE, GILBERTSVILLE, PA 19525-9667
(877) 413-0299
(888) 401-1721
Mailing address
1881 SWAMP PIKE, GILBERTSVILLE, PA 19525-9667
(877) 413-0299
(888) 401-1721
Taxonomy
Speciality
Code
Description
License number
State
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
02/09/2022
Last updated
02/09/2022
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