# VIDOT RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA KEITHA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013034313
- **Authorized official:** MS. JACQUELINE VIDOT RPH (REGISTERED PHARMACIST)
- **Authorized official phone:** (757) 346-7801

## Contact information

- **Practice address:** 109 CENTRO COMERCIAL VISTA AZUL, ARCIBO, PR 00612
- **Practice address phone:** (787) 878-1800
- **Practice address fax:** (787) 878-8042
- **Mailing address:** PO BOX 140358, ARECIBO, PR 00614-0358
- **Mailing address phone:** (787) 878-1800
- **Mailing address fax:** (787) 878-8042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15F0494 | PR | Yes |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 06/02/2021