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COMPLETE VITAL CARE INC NPI 1962432641


NPI Information

NPI: 1962432641
Provider Name: COMPLETE VITAL CARE INC

Doing Business As: COMPLETE VITAL CARE INC

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1053 PARKWAY DR
STE B
NATCHITOCHES, LA
ZIP 71457
Phone: (318) 352-4582
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COMPLETE VITAL CARE INC is a specialty pharmacy pharmacy in Natchitoches, LA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. COMPLETE VITAL CARE INC NPI is 1962432641. The provider is registered as an organization entity type.
The provider Is Doing Business As Complete Vital Care Inc.

The provider's business location address is:

1053 PARKWAY DR
STE B
NATCHITOCHES, LA
ZIP 71457-276
Phone: (318) 352-4582
Fax: (318) 357-0778

The provider's authorized official is Billy Gran .
The authorized official title is Vp and has the following contact phone number (318) 686-9995.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336H0001XPharmacyHome Infusion Therapy PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336M0002XPharmacyMail Order PharmacyNo
53336S0011XPharmacySpecialty Pharmacy3763LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11927651OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
21182190001MEDICARE NSC
31266141MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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