CUSTOM SCRIPT INFUSION VITAL CARE LLC
Suppliers at Teays Valley Rd, Hurricane, WV

License number
West Virginia MP0552402
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
License number
West Virginia MP0552402
Category
Suppliers
Type
Parenteral & Enteral Nutrition
License number
West Virginia MP0552402
Category
Suppliers
Type
Pharmacy
License number
West Virginia MP0552402
Category
Suppliers
Type
Home Infusion Therapy Pharmacy
Owner
Name: CHAD A WALLACE R.PH.
Title: VP OPERATIONS
Phone: (304) 543-3292
Address
Address
3738 Teays Valley Rd SUITE B, Hurricane, WV 25526
National Provider ID: 1720320088
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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