Vida Pharmacy Corp

NPI #1134251796 in Hialeah, Florida

Provider Information

NPI Number: 1134251796
Entity Type: Organization
Organization Name: Vida Pharmacy Corp
Primary Specialty: Pharmacy
Enumeration Date: Mar 9, 2007
Last Updated: Apr 1, 2015

Practice Location

Address: 7250 W 24TH AVE
Address 2: SUITE 19/20
City: Hialeah
State: Florida
ZIP Code: 33016-6575
Phone: (305) 822-8234

Authorized Official

Name: MR. RAIMUNDO FERNANDEZ
Title: OWNER
Phone: (305) 822-8234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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