NPI | 1740465590 |
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Doing Business As | COMPLETE CARE OF SHREVEPORT / BOSSIER |
Entity Type | Organization |
Authorized Contact | AMY L MCMULLEN President 318-747-9977 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2007-12-28 |
Last Update Date | 2007-12-28 |