Organization
COMPLETE VITAL CARE INC
Active
Other names
COMPLETE VITAL CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY GRAN (VP)
(318) 686-9995
Entity
Organization
Contact information
Practice address
1053 PARKWAY DR, STE B, NATCHITOCHES, LA 71457-6276
(318) 352-4582
(318) 357-0778
Mailing address
1053 PARKWAY DR, STE B, NATCHITOCHES, LA 71457-6276
(318) 352-4582
(318) 357-0778
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
3763
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266141
—
LA
01
—
1927651
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/05/2006
Last updated
04/16/2010
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