Organization
VIDA PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAIMUNDO FERNANDEZ (OWNER)
(305) 822-8234
Entity
Organization
Contact information
Practice address
7250 W 24TH AVE, SUITE 19/20, HIALEAH, FL 33016-6575
(305) 822-8234
(305) 822-8246
Mailing address
7250 W 24TH AVE, SUITE 19/20, HIALEAH, FL 33016-6575
(305) 822-8234
(305) 822-8246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH22588
FL
Other
Enumeration date
03/09/2007
Last updated
04/01/2015
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