| NPI | 1154981157 |
|---|---|
| Doing Business As | FARMACIA VIDA |
| Entity Type | Organization |
| Authorized Contact | ANGELA VERHOTUROVA President 718-684-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |