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Organization
VIDA PHARMACY LLC
Active
Organization
VIDA PHARMACY LLC
Active
Parent organization
VIDA PHARMACY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDA PHARMACY LLC
Authorized official
SALIM FAOUR PHARM D (OWNER)
(917) 442-2705
Entity
Organization
Contact information
Practice address
172 BUSHWICK AVE, BROOKLYN, NY 11206-1604
(347) 725-4953
(347) 725-4794
Mailing address
172 BUSHWICK AVE, BROOKLYN, NY 11206-1604
(347) 725-4953
(347) 725-4794
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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