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VIDA PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Albuquerque, New Mexico

Provider NPI: 1609056035

Organization Information:
Organization Name:  VIDA PHARMACY LLC


Practice Location:
8500 JEFFERSON ST NE STE D ALBUQUERQUE, NM 87113 US
Tel: 505-856-1660  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336L0003XSuppliers
Pharmacy
NMPH00002980

Other Provider Identifiers:

IssuerNumberStateType
PK205902501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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