Provider Demographics
NPI:1184516577
Name:DOCTOR'S PHARMACY-VITAL CARE,INC
Entity type:Organization
Organization Name:DOCTOR'S PHARMACY-VITAL CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-928-9010
Mailing Address - Street 1:611 E LAMAR ST STE B
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3744
Mailing Address - Country:US
Mailing Address - Phone:229-928-9010
Mailing Address - Fax:
Practice Address - Street 1:131 RANDALL H WHIDDON DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:GA
Practice Address - Zip Code:31714-5317
Practice Address - Country:US
Practice Address - Phone:229-928-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOCTORS'S PHARMACY-VITAL CARE,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy