<Unavail>

LBN: Complete Vital Care Inc
<Unavail> is an health care organization with primary practice located at 1053 Parkway Dr Ste B, Natchitoches LA 71457-6276. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Complete Vital Care Inc can be contacted via phone (318) 352-4582, or through Gran, Billy via phone (318) 686-9995.

Contact Information

Primary practice address
1053 Parkway Dr Ste B Natchitoches LA 71457-6276
Phone: (318) 352-4582
Fax: (318) 357-0778
Website:
Map and Directions
Authorized official contact:
Name: Gran, Billy
Phone: (318) 686-9995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X 3763 Louisiana

Profile Details

NPI number 1962432641
LBN Legal business name Complete Vital Care Inc
DBA Doing business as <Unavail>
Authorized official Gran, Billy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962432641 NPPES
Other 1927651 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1266141 NCPDP PROVIDER IDENTIFICATION NUMBER

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