| NPI | 1417197492 |
|---|---|
| Doing Business As | CASA DE VIDA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAYUR PANDYA Supervising Pharmacist 347-820-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031470) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2018-07-19 |