| NPI | 1659748150 |
|---|---|
| Former Legal Business Name | VIVA PHARMACY & WELLNESS, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | LATCHMIN RAGHUNAUTH PIC, AO 718-450-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033886) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2024-10-31 |