Organization
COMPLETE VITAL CARE, INC.
Active
Other names
Complete Vital Care II
Organization subpart
No
Provider details
NPI number
Authorized official
TED GARDINER (PRESIDENT)
(318) 473-8800
Entity
Organization
Contact information
Practice address
4801 JACKSON STREET 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
332B00000X
Durable Medical Equipment & Medical Supplies
4436-IR
LA
332BC3200X
Customized Equipment (DME)
4436-IR
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
4436-IR
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
4436-IR
LA
333600000X
Pharmacy
Primary
4436-IR
LA
3336C0003X
Community/Retail Pharmacy
4436-IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
4436-IR
LA
3336L0003X
Long Term Care Pharmacy
4436-IR
LA
3336M0002X
Mail Order Pharmacy
4436-IR
LA
3336S0011X
Specialty Pharmacy
4436-IR
LA
Other
Enumeration date
07/05/2006
Last updated
09/11/2025
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