Organization
VISTA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK PATEL (PIC)
(484) 707-2490
Entity
Organization
Contact information
Practice address
938 N 8TH ST, READING, PA 19604-2308
(610) 927-6566
(610) 927-5766
Mailing address
938 N 8TH ST, READING, PA 19604-2308
(610) 927-6566
(610) 927-5766
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037092520001
—
PA
Enumeration date
05/14/2020
Last updated
02/07/2024
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