# VITAL CARE OF MISS-LOU, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437542537
- **Authorized official:** CHARLES E MAIER RPH (OWNER)
- **Authorized official phone:** (318) 757-8711

## Contact information

- **Practice address:** 131 DOCTORS DR, FERRIDAY, LA 71334-2251
- **Practice address phone:** (318) 757-8711
- **Practice address fax:** (318) 757-8716
- **Mailing address:** PO BOX 1757, FERRIDAY, LA 71334-1757
- **Mailing address phone:** (318) 757-8711
- **Mailing address fax:** (318) 757-8716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHY007013IR | LA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | PHY007013IR | LA | — |
| 3336C0003X | Community/Retail Pharmacy | PHY007013IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | PHY007013IR | LA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | PHY007013IR | LA | — |

## Other

- **Enumeration date:** 03/13/2015
- **Last updated:** 03/13/2015