Organization
HOME CARE MEDICAL, LLC
Active
Parent organization
HOME CARE MEDICAL, LLC
Other names
Home Care Pharmacy Vital Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME CARE MEDICAL, LLC
Authorized official
RAYMOND WILLINGHAM (CEO/OWNER)
(405) 235-1468
Entity
Organization
Contact information
Practice address
220 NW 10TH ST, OKLAHOMA CITY, OK 73103-3902
(405) 235-1468
(405) 235-1476
Mailing address
220 NW 10TH ST, OKLAHOMA CITY, OK 73103-3902
(405) 235-1468
(405) 235-1476
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1-4589
OK
3336C0003X
Community/Retail Pharmacy
1-4589
OK
3336H0001X
Home Infusion Therapy Pharmacy
1-4589
OK
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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