NPI | 1639191315 |
---|---|
Doing Business As | COMPLETE VITAL CARE II |
Entity Type | Organization |
Authorized Contact | GEORGE GARDINER President 318-473-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: LA 4436 IR) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2020-08-22 |