Medicine Mart Vital Care

Specialty Pharmacy


  
  218b S Main St, Tabor City
North Carolina, 28463-1904

 910-653-6169    910-653-6078
Medicine Mart Vital Care is a Specialty Pharmacy in Tabor City, North Carolina. This pharmacy is owned and operated by Twin States Vital Care, Inc.. It is located at 218b S Main St, Tabor City and it's customer support contact number is 910-653-6169. The authorized person of Medicine Mart Vital Care is Sterling Grady Koonce who is Manager of the pharmacy and his contact number is 910-653-6169. Active license number of Medicine Mart Vital Care is 2627-IR for Specialty Pharmacy in Louisiana.
Medicine Mart Vital Care is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.


Pharmacy Details:
Medicine Mart Vital Care type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Medicine Mart Vital Care
Type: Specialty Pharmacy
Location:218b S Main St, Tabor City,
North Carolina, 28463-1904
Phone:910-653-6169
Fax:910-653-6078
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Sterling Grady Koonce
Position: Manager
Contact Number: 910-653-6169
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1467568337
NPI Enumeration Date: 22 Aug, 2006
NPI Last Update On: 22 Aug, 2020

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medicine Mart Vital Care are as mentioned below.
SpecializationLicense NumberStateStatus
Specialty Pharmacy 2627-IRLouisianaPrimary
Durable Medical Equipment & Medical Supplies 2627-IRLouisianaSecondary
Customized Equipment 2627-IRLouisianaSecondary
Parenteral & Enteral Nutrition 2627-IRLouisianaSecondary
Oxygen Equipment & Supplies 2627-IRLouisianaSecondary
Pharmacy 2627-IRLouisianaSecondary
Community/Retail Pharmacy 2627-IRLouisianaSecondary
Home Infusion Therapy Pharmacy 2627-IRLouisianaSecondary
Long Term Care Pharmacy 2627-IRLouisianaSecondary
Mail Order Pharmacy 2627-IRLouisianaSecondary
Specialty Pharmacy 2627-IRLouisianaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
6800472MedicaidNorth Carolina
7703531MedicaidNorth Carolina
7N7828MedicaidSouth Carolina
0245837MedicaidNorth Carolina
DE2065MedicaidSouth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 5047,
Meridian, Mississippi
Zip: 39302-5047
Phone Number: 800-447-4095
Fax Number: 601-482-7490
Patients can reach Medicine Mart Vital Care at 218b S Main St, Tabor City, North Carolina or can call on customer care at 910-653-6169.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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