# VIC-CHAR CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Antelope Valley Sickroom Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205801057
- **Authorized official:** MR. LARRY LEE THOMPSON RCP (PRESIDENT)
- **Authorized official phone:** (661) 942-0455

## Contact information

- **Practice address:** 44814 DATE AVE, LANCASTER, CA 93534-3185
- **Practice address phone:** (661) 942-0455
- **Practice address fax:** (661) 723-1016
- **Mailing address:** 44814 DATE AVE, LANCASTER, CA 93534-3185
- **Mailing address phone:** (661) 942-0455
- **Mailing address fax:** (661) 723-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101203 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 08/22/2020