Complete Vital Care, Shreveport

Parenteral & Enteral Nutrition


  
  2530 Bert Kouns Industrial Loop, Suite 116, Shreveport
Louisiana, 71118-3132

 318-686-9995    318-686-9997
Complete Vital Care, Shreveport is a Parenteral & Enteral Nutrition in Shreveport, Louisiana. This pharmacy is owned and operated by Complete Vital Care, Inc.. 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, Shreveport is Ted Gardiner who is President of the pharmacy and his contact number is 318-686-9995. Active license number of Complete Vital Care, Shreveport is 4863-IR for Parenteral & Enteral Nutrition in Louisiana.
Complete Vital Care, Shreveport is definition to come...


Pharmacy Details:
Complete Vital Care, Shreveport 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, Shreveport
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, Shreveport are as mentioned below.
SpecializationLicense NumberStateStatus
Parenteral & Enteral Nutrition 4863-IRLouisianaPrimary
Durable Medical Equipment & Medical Supplies 4863-IRLouisianaSecondary
Customized Equipment 4863-IRLouisianaSecondary
Oxygen Equipment & Supplies 4863-IRLouisianaSecondary
Pharmacy 4863-IRLouisianaSecondary
Community/Retail Pharmacy 4863-IRLouisianaSecondary
Home Infusion Therapy Pharmacy 4863-IRLouisianaSecondary
Long Term Care Pharmacy 4863-IRLouisianaSecondary
Mail Order Pharmacy 4863-IRLouisianaSecondary
Specialty Pharmacy 4863-IRLouisianaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1275247MedicaidLouisiana
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, Shreveport at 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, Louisiana or can call on customer care at 318-686-9995.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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