OrganizationActive
Complete Vital Care, Inc.
NPI 1790799591 · Mail Order Pharmacy · Shreveport, LA
Provider details
- NPI number
- 1790799591
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Authorized official
- George Gardiner, President
- License
- 4863 IR (LA)
Practice location
2530 Bert Kouns Industrial Loop
Ste 116
Shreveport, LA 71118-3132
Phone: (318) 686-9995
Fax: (318) 686-9997
Mailing address
Po Box 5047
Meridian, MS 39302-5047
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.