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Organization
VIDA PHARMACY, INC.
Active
Organization
VIDA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO ADOLFO ARIAS (PRESIDENT)
(212) 923-3524
Entity
Organization
Contact information
Practice address
1620 SAINT NICHOLAS AVE, NEW YORK, NY 10040-3313
(212) 923-3524
(212) 923-3523
Mailing address
1620 SAINT NICHOLAS AVE, NEW YORK, NY 10040-3313
(212) 923-3524
(212) 923-3523
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028789
NY
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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