| NPI | 1609056035 |
|---|---|
| Doing Business As | VIDA PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | ANNABEL ROBERTS Owner 505-856-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NM PH00002980) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2020-12-03 |