Organization · Type 2 NPI

Vidisa LLC

Community/Retail Pharmacy · Cle Elum, WA

NPI number 1487156121 Active

Practice location

115 W 1st St
Cle Elum, WA 98922-1515

Call (509) 852-0123 Map

Fax (509) 852-4567

Mailing address

PO Box 871
Omak, WA 98841-0871

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHAR.CF.6082533 (WA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Cle Elum

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NPI record

NPI: 1487156121
Entity type: Organization (Type 2)
Issued: Mar 7, 2018
Last updated: Aug 12, 2021
Status: Active

Other names

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Cle Elum Pharmacy · doing business as
Cle Elum Pharmacy · doing business as

Authorized official

Virginia Kelly, DON'T CHANGE MY INFO
Owner/partner
(509) 322-7097

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487156121

Vidisa LLC's National Provider Identifier is 1487156121, issued on Mar 7, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Cle Elum, WA. The record was last updated on Aug 12, 2021.