Organization
VITAL CARE PHARMACY OF NORFOLK, INC.
Active
Other names
Vital Care Pharmacy of Norfolk
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL EUGENE DEINES PHARMD, RPH (CO-OWNER)
(402) 223-4779
Entity
Organization
Contact information
Practice address
120 N 27TH ST STE 200, NORFOLK, NE 68701-3286
(402) 371-3444
(402) 371-3566
Mailing address
120 N 27TH ST STE 200, NORFOLK, NE 68701-3286
(402) 371-3444
(402) 371-3566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2816544
NCPDP
—
05
—
68053858100
—
NE
Enumeration date
07/21/2006
Last updated
06/03/2021
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