Organization
KAY'S HIDEAWAY PHARMACY, INC.
Active
Organization
KAY'S HIDEAWAY PHARMACY, INC.
Active
Other names
Vital Care Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
K CHANDLER (OWNER)
(318) 343-4663
Entity
Organization
Contact information
Practice address
504 FINKS HIDEAWAY RD, SUITE 4, MONROE, LA 71203-2470
(318) 343-4663
(318) 343-4691
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
3929-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265870
—
LA
Enumeration date
08/23/2006
Last updated
08/22/2020
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