Vidisa LLC
NPI #1487156121 in Cle Elum, Washington
Provider Information
- NPI Number
- 1487156121
- Entity Type
- Organization
- Organization Name
- Vidisa LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 7, 2018
- Last Updated
- Aug 12, 2021
Practice Location
- Address
- 115 W 1ST ST
- City
- Cle Elum
- State
- Washington
- ZIP Code
- 98922-1515
- Phone
- (509) 852-0123
Authorized Official
- Name
- VIRGINIA KELLY, DON'T CHANGE MY INFO
- Title
- OWNER/PARTNER
- Phone
- (509) 322-7097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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