Vital Care Of Northeast La

LBN: Kay'S Hideaway Pharmacy, Inc.
Vital Care Of Northeast La is an health care organization with primary practice located at 4140 Old Sterlington Rd Ste 3, Monroe LA 71203-2629. The organization recently has 8 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Kay'S Hideaway Pharmacy, Inc. can be contacted via phone (318) 343-4663, or through Chandler, Kay via phone (318) 343-4663.

Contact Information

Primary practice address
4140 Old Sterlington Rd Ste 3 Monroe LA 71203-2629
Fax: (317) 343-4691
Website:
Authorized official contact:
Name: Chandler, Kay

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 3929 IR Louisiana
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 3929 IR Louisiana
Suppliers / Pharmacy 333600000X 3929 IR Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X 3929-IR Louisiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 3929 IR Louisiana
Suppliers / Long Term Care Pharmacy 3336L0003X 3929-IR Louisiana
Suppliers / Mail Order Pharmacy 3336M0002X 3929-IR Louisiana
Suppliers / Specialty Pharmacy 3336S0011X 3929-IR Louisiana

Profile Details

NPI number 1134145295
LBN Legal business name Kay'S Hideaway Pharmacy, Inc.
DBA Doing business as Vital Care Of Northeast La
Authorized official Chandler, Kay
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated May 3rd, 2022 - about 2 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 1134145295 NPPES
Louisiana MEDICAID 1265870

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