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
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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