# VITAL CARE OF MISS-LOU INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Pharmacy & Gift
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619993300
- **Authorized official:** CHARLES MAIER (R.PH.)
- **Authorized official phone:** (318) 386-2344

## Contact information

- **Practice address:** 6280 HIGHWAY 129, MONTEREY, LA 71354-4072
- **Practice address phone:** (318) 386-2344
- **Practice address fax:** (318) 386-2366
- **Mailing address:** PO BOX 37, MONTEREY, LA 71354-0037
- **Mailing address phone:** (318) 386-2344
- **Mailing address fax:** (318) 386-2366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.007013-IR | LA | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 10/04/2016