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Organization
VIDOT RX LLC
Active
Organization
VIDOT RX LLC
Active
Other names
FARMACIA KEITHA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE VIDOT RPH (REGISTERED PHARMACIST)
(757) 346-7801
Entity
Organization
Contact information
Practice address
109 CENTRO COMERCIAL VISTA AZUL, ARCIBO, PR 00612
(787) 878-1800
(787) 878-8042
Mailing address
PO BOX 140358, ARECIBO, PR 00614-0358
(787) 878-1800
(787) 878-8042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
15F0494
PR
3336I0012X
Institutional Pharmacy
—
NULL
Other
Enumeration date
03/23/2007
Last updated
06/02/2021
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