Organization
KCC, INC.
Active
Other names
Vital Care RX II
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD GILCHRIST (COO)
(601) 482-4003
Entity
Organization
Contact information
Practice address
8625 LINE AVE STE A, SHREVEPORT, LA 71106-6107
(318) 673-8360
Mailing address
8625 LINE AVE STE A, SHREVEPORT, LA 71106-6107
(318) 673-8360
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
05/02/2022
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