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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