Vida Pharmacy Corp

NPI 1134251796 - Pharmacy - 333600000X

NPI Details
NPI 1134251796
Enumeration Date 03/09/2007
Last Updated 04/01/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAIMUNDO RAIMUNDO
Position OWNER
Phone (305) 822-8234
Fax (305) 822-8246
Practice Location
7250 W 24TH AVE
SUITE 19/20
HIALEAH FL, 33016-6575, US
Phone (305) 822-8234
Fax (305) 822-8246
Business Location
7250 W 24TH AVE
SUITE 19/20
HIALEAH FL, 33016-6575, US
Phone (305) 822-8234
Fax (305) 822-8246
Toxanomy
Taxonomy Code 333600000X
License State Florida
License Number PH22588
Remove 1134251796 NPI Number
 

According to our database, Vida Pharmacy Corp NPI is 1134251796, taxonomy code is 333600000X and license number is PH22588, license state is located at Florida. Vida Pharmacy Corp physically located at 7250 W 24th Ave, Hialeah FL, 33016-6575. NPI Number 1033115704 has the healthcare provider type.

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1134251796 NPI number is provided on an as is basis without warranty of any kind. 1134251796 is maintained by the National Plan & Provider Enumeration System. The contents of Vida Pharmacy Corp are for informational purposes only.