| NPI | 1730445917 |
|---|---|
| Doing Business As | CASA DE VIDA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATHUBHAI DESAI President 347-820-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |