NPI | 1962432641 |
---|---|
Doing Business As | COMPLETE VITAL CARE INC |
Entity Type | Organization |
Authorized Contact | BILLY GRAN VP 318-686-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA 3763) |
Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-04-16 |