Organization · Type 2 NPI

MLB Pharmacy LLC

Home Infusion Agency · San Angelo, TX

NPI number 1780354852 Active

Practice location

11 W Beauregard Ave
San Angelo, TX 76903-5832

Fax (325) 777-1430

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency Primary	251F00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed

Home Infusion Agency: Definition to come...

NPI record

NPI: 1780354852
Entity type: Organization (Type 2)
Issued: Sep 20, 2021
Last updated: Nov 17, 2022
Status: Active

Other names

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Vital Care Infusion Services · doing business as
Vital Care Infusion Services · doing business as

Authorized official

Micah Pratt, PharmD
Owner
(325) 777-1423

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780354852

MLB Pharmacy LLC's National Provider Identifier is 1780354852, issued on Sep 20, 2021. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in San Angelo, TX. The record was last updated on Nov 17, 2022.