Organization
HEARTLAND PHARMACY, INC.
Active
Other names
Heartland Pharmacy Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUNCAN (OWNER)
(863) 385-2866
Entity
Organization
Contact information
Practice address
6364 US 27 N, SEBRING, FL 33870-1225
(863) 385-2866
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH10353
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
PH10353
FL
333600000X
Pharmacy
PH10353
FL
3336C0003X
Community/Retail Pharmacy
PH10353
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH10353
FL
3336L0003X
Long Term Care Pharmacy
PH10353
FL
3336M0002X
Mail Order Pharmacy
PH10353
FL
3336S0011X
Specialty Pharmacy
PH10353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032230000
—
FL
05
—
109004600
—
FL
05
—
109004601
—
FL
01
—
500504
BLACKLUNG
—
01
—
P5570
BCBS
FL
Enumeration date
08/08/2006
Last updated
12/14/2011
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