| NPI | 1790799591 |
|---|---|
| Doing Business As | COMPLETE VITAL CARE - SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | GEORGE GARDINER President 318-686-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: LA 4863 IR) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |