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SARTIN'S VITAL CARE INC NPI 1407869605


NPI Information

NPI: 1407869605
Provider Name: SARTIN'S VITAL CARE INC

Doing Business As: SARTIN'S VITAL CARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4300 15TH ST
SUITE A
GULFPORT, MS
ZIP 39501
Phone: (228) 864-7056
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SARTIN'S VITAL CARE INC is a long term care pharmacy pharmacy in Gulfport, MS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SARTIN'S VITAL CARE INC NPI is 1407869605. The provider is registered as an organization entity type.
The provider Is Doing Business As Sartin's Vital Care.

The provider's business location address is:

4300 15TH ST
SUITE A
GULFPORT, MS
ZIP 39501-524
Phone: (228) 864-7056

The provider's authorized official is C Sartin .
The authorized official title is Owner and has the following contact phone number (228) 864-7056.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy01681/01.1MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153025OTHERLOUISIANABCBS HIT
2606520OTHERMISSISSIPPITRIGON BCBS
300040011MEDICAIDMISSISSIPPI
473012424OTHERALABAMABCBS
500034748MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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