Organization
SARTIN'S VITAL CARE, INC.
Active
Other names
Sartins Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN SARTIN (PRES)
(228) 864-7056
Entity
Organization
Contact information
Practice address
1311 BROAD AVE, GULFPORT, MS 39501
(228) 864-7056
(228) 864-2402
Mailing address
1311 BROAD AVE, GULFPORT, MS 39501-2419
(228) 864-7056
(228) 864-2402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
08961 1/2.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
08961 1/2.1
MS
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
08961/2.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
08961 1/2.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040011
—
MS
01
—
2132187
PK
—
Enumeration date
07/11/2006
Last updated
07/25/2018
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