Big Bend Infusion LLC
Pharmacy, Home Infusion Therapy Pharmacy in Tallahassee, FL. Organization (NPI-2).
NPI number1932976206
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1932976206
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Bend Infusion LLC
- Organization subpart
- No
- Enumeration date
- Dec 7, 2023
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 333600000X | Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- Vital Care Of Tallahassee (Doing Business As)
Practice location
124 Marriott Dr Ste 105Tallahassee, FL 32301-2981
Phone 850-558-5588 · Fax 850-558-5584
Mailing address
124 Marriott Dr Ste 105Tallahassee, FL 32301-2981
Phone 850-558-5588 · Fax 850-558-5584
Authorized official
Musa Darwish
Owner/Pharmacists
8505885588
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