Contract Details
Vital Care Home Infusion Services
Facility name
Ritch's Pharmacy
Provider ID
P000002375
NPI
1093740185
Tax ID
631041310
Effective Date
8/25/2011
Last Updated
6/9/2014
Direct Contract
Yes
Term Date
9/16/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2714 Cahaba Road
Birmingham, AL 35223
United States
County
Jefferson
Phone
2058711141 (Phone)
Billing Details
Address
1170 Northeast Industrial Park Road
Meridian, MS 39301
Billing Phone
6014827420
Specialty Type
Home Infusion
Map
Address