Organization
DANG HOME INFUSION PHARMACY, LLC
Active
Other names
Vital Care of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
NHUNG DANG (OWNER/PIC)
(309) 916-9099
Entity
Organization
Contact information
Practice address
1127 W GLEN AVE, PEORIA, IL 61614-4840
(309) 916-9100
(309) 916-9099
Mailing address
1127 W GLEN AVE, PEORIA, IL 61614-4840
(309) 916-9100
(309) 916-9099
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
—
—
Other
Enumeration date
07/11/2024
Last updated
05/19/2025
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