Organization
VIC-CHAR CORP
Active
Other names
Antelope Valley Sickroom Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LEE THOMPSON RCP (PRESIDENT)
(661) 942-0455
Entity
Organization
Contact information
Practice address
44814 DATE AVE, LANCASTER, CA 93534-3185
(661) 942-0455
(661) 723-1016
Mailing address
44814 DATE AVE, LANCASTER, CA 93534-3185
(661) 942-0455
(661) 723-1016
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ31569Z
—
CA
Enumeration date
02/22/2006
Last updated
08/22/2020
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