Complete Vital Care, Inc.
Parenteral & Enteral Nutrition
2530 Bert Kouns Industrial Loop, Suite 116, Shreveport
Louisiana, 71118-3132
318-686-9995 318-686-9997
Complete Vital Care, Inc. is a Parenteral & Enteral Nutrition in Shreveport, Louisiana. It is located at 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport and it's customer support contact number is 318-686-9995. The authorized person of Complete Vital Care, Inc. is Ted Gardiner who is President of the pharmacy and his contact number is 318-686-9995. Active license number of Complete Vital Care, Inc. is 4863-IR for Parenteral & Enteral Nutrition in Louisiana.
Complete Vital Care, Inc. is definition to come...
Pharmacy Details:
Complete Vital Care, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Complete Vital Care, Inc. |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport,
Louisiana, 71118-3132 |
| Phone: | 318-686-9995 |
| Fax: | 318-686-9997 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ted Gardiner |
| Position: | President |
| Contact Number: | 318-686-9995 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1720018492 |
| NPI Enumeration Date: | 05 Jul, 2006 |
| NPI Last Update On: | 20 Apr, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Complete Vital Care, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | 4863-IR | Louisiana | Primary | |
| Durable Medical Equipment & Medical Supplies | 4863-IR | Louisiana | Secondary | |
| Customized Equipment | 4863-IR | Louisiana | Secondary | |
| Oxygen Equipment & Supplies | 4863-IR | Louisiana | Secondary | |
| Pharmacy | 4863-IR | Louisiana | Secondary | |
| Community/Retail Pharmacy | 4863-IR | Louisiana | Secondary | |
| Home Infusion Therapy Pharmacy | 4863-IR | Louisiana | Secondary | |
| Long Term Care Pharmacy | 4863-IR | Louisiana | Secondary | |
| Mail Order Pharmacy | 4863-IR | Louisiana | Secondary | |
| Specialty Pharmacy | 4863-IR | Louisiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1275247 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 411 Ashley Ridge Blvd,
Shreveport, Louisiana |
| Zip: | 71106-7229 |
| Phone Number: | 318-747-9977 |
| Fax Number: | 318-747-9994 |
Patients can reach Complete Vital Care, Inc. at
2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, Louisiana or can
call on customer care at 318-686-9995.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.