Provider Demographics
NPI:1326358441
Name:DAMASIUS INC
Entity Type:Organization
Organization Name:DAMASIUS INC
Other - Org Name:VYTOS PHARMACY & HOME HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARM D
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMASIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-972-1700
Mailing Address - Street 1:2914 HIGHWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1656
Mailing Address - Country:US
Mailing Address - Phone:219-972-1700
Mailing Address - Fax:219-972-1915
Practice Address - Street 1:2914 HIGHWAY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1656
Practice Address - Country:US
Practice Address - Phone:219-972-1700
Practice Address - Fax:219-972-1915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAMASIUS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN600006040A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0423930002Medicare NSC