| NPI | 1467650713 |
|---|---|
| Doing Business As | BELLA VIDA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHEN JING President/PIC 310-320-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 50550) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 50550) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY 50550) | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2022-07-21 |