| NPI | 1841991130 |
|---|---|
| Doing Business As | LA VIDA DISCOUNT PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | EDWARD O OKEBIORUN President 215-427-1603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |