| NPI | 1811632573 |
|---|---|
| Doing Business As | VIDA MAS FARMACIA |
| Entity Type | Organization |
| Authorized Contact | ROSHEL SIONOV President 631-435-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2024-05-23 |