| NPI | 1710793658 |
|---|---|
| Doing Business As | CASA DE VIDA PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | MAYUR K PANDYA Pharmacist In Charge 347-820-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |