| NPI | 1093802514 |
|---|---|
| Doing Business As | VIDA DRUG STORE & PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NARIMAN ESHAK CEO 909-983-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 49856) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-12-13 |