Organization
ADVANCED INFUSION, LLC
Active
Organization
ADVANCED INFUSION, LLC
Active
Other names
Vital Care of Hagerstown
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALBERT KODMAN (OWNER)
(724) 717-2211
Entity
Organization
Contact information
Practice address
1185 IMPERIAL DR STE 101, HAGERSTOWN, MD 21740-6670
(240) 850-4101
(240) 850-4102
Mailing address
1185 IMPERIAL DR STE 101, HAGERSTOWN, MD 21740-6670
(240) 850-4101
(240) 850-4102
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
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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