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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15F0494
PR
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038598900
—
PR
01
—
2084401
PK
—
Enumeration date
03/23/2007
Last updated
06/02/2021
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