Vitalrx Of Louisiana

LBN: Vital Rx Of Louisiana Llc
Vitalrx Of Louisiana is an health care organization with primary practice located at 6200 Leslie Lane , Lake Charles LA 70615-4772. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vital Rx Of Louisiana Llc can be contacted via phone (877) 264-8060, or through Tate, Joseph via phone (337) 304-9342.

Contact Information

Primary practice address
6200 Leslie Lane Lake Charles LA 70615-4772
Phone: (877) 264-8060
Fax: (888) 811-4564
Website:
Map and Directions
Authorized official contact:
Name: Tate, Joseph
Phone: (337) 304-9342

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY007506-IR Louisiana

Profile Details

NPI number 1780108704
LBN Legal business name Vital Rx Of Louisiana Llc
DBA Doing business as Vitalrx Of Louisiana
Authorized official Tate, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2017
Last updated Feb 22nd, 2022 - about 4 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 1780108704 NPPES
Other 2170664 PK
MEDICAID 2205421 PK

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