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General NPI Number Information
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NPI Number | 1790706471
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Entity Type | Organization
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Legal Business Name | VITAL CARE PHARMACY OF NORFOLK, INC.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 120 N 27TH ST STE 200
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City | NORFOLK
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State | NE
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Zip | 68701-3286
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Country | US
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Telephone | 402-371-3444
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Fax | 402-371-3566
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Provider Business Mailing Address
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Address Line | 120 N 27TH ST STE 200
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City | NORFOLK
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State | NE
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Zip | 68701-3286
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Country | US
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Telephone | 402-371-3444
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Fax | 402-371-3566
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MITCHELL EUGENE DEINES
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Credential | PHARMD, RPH
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Telephone | 402-223-4779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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