Organization
LA VIDA DISCOUNT PHARMACY INC
Active
Organization
LA VIDA DISCOUNT PHARMACY INC
Active
Other names
LA VIDA DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ASSIFUAH (PHARMACY OWNER)
(862) 215-3414
Entity
Organization
Contact information
Practice address
3204 KENSINGTON AVE FL 1, 1ST FL, PHILADELPHIA, PA 19134-1918
(215) 427-1603
(215) 427-3590
Mailing address
3204 KENSIGNTON AVE, 1ST FL, PHILADELPHIA, PA 19134
(215) 427-1603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482534
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103007788
—
PA
01
—
2149600
PK
—
Enumeration date
01/07/2015
Last updated
09/19/2025
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