Organization
VITALEDGE HEALTHCARE LLC
Active
Other names
VitalEdge Infusions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB RYAN O'KEEFE PHARMD. (CLINICAL PHARMACIST)
(228) 424-1010
Entity
Organization
Contact information
Practice address
2584 AUDUBON PL, BILOXI, MS 39531-3707
(228) 860-2840
Mailing address
2584 AUDUBON PL, BILOXI, MS 39531-3707
(228) 860-2840
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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