Organization
VITAL RX OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TROY TATE (DIRECTOR)
(877) 264-8060
Entity
Organization
Contact information
Practice address
6200 LESLIE LANE, LAKE CHARLES, LA 70615
(877) 264-8060
(888) 811-4564
Mailing address
237 CAHABA VALLEY PKWY, PELHAM, AL 35124-1146
(866) 209-5540
(800) 878-4160
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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