Organization · Type 2 NPI
Vida Pharmacy LLC
Long Term Care Pharmacy · Albuquerque, NM
NPI number
1609056035
Active
Practice location
8500 Jefferson St NE, Ste D
Albuquerque, NM 87113-1883
Fax (505) 856-7141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | PH00002980 (NM) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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About NPI 1609056035
Vida Pharmacy LLC's National Provider Identifier is 1609056035, issued on Nov 14, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 3, 2020.