| NPI | 1902583479 |
|---|---|
| Doing Business As | VIDAPHARMACY |
| Entity Type | Organization |
| Authorized Contact | NIKHIL TAILOR Owner 843-267-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-10-31 |