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Organization
COMPLETE VITAL CARE, INC.
Active
Organization
COMPLETE VITAL CARE, INC.
Active
Other names
Complete Vital Care II
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GARDINER (PRESIDENT)
(318) 473-8800
Entity
Organization
Contact information
Practice address
4801 JACKSON STREET EXT, EXT B, ALEXANDRIA, LA 71303-2508
(318) 473-8800
(318) 473-8005
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
4436 IR
LA
Other
Enumeration date
07/24/2006
Last updated
08/22/2020
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