Complete Vital Care, Shreveport is not a DME supplier for medicare equipments and products.
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.
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, 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 March, 2024.
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