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Organization

VITALSTAT, INC.

Active
Other names
Vital Care of North Alabama
Organization subpart
No

Provider details

NPI number
Authorized official
T BISHOP (OWNER)
(256) 878-2111
Entity
Organization

Contact information

Practice address
103 SAND MOUNTAIN DR NE, ALBERTVILLE, AL 35950-1709
(256) 878-2111
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
111152
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-56579
BCBS, NON-PAR
AL
Enumeration date
08/15/2006
Last updated
08/22/2020
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