NPI | 1629092150 |
---|---|
Doing Business As | COMPLETE VITAL CARE - SHREVEPORT |
Entity Type | Organization |
Authorized Contact | GEORGE GARDINER President 318-686-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA 4863 IR) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-22 |