Organization
DANG HOME INFUSION PHARMACY, LLC
Active
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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