La Vida Discount Pharmacy

LBN: La Vida Discount Pharmacy Inc
La Vida Discount Pharmacy is an health care organization with primary practice located at 3204 Kensington Ave Fl 1 1St Fl, Philadelphia PA 19134-1918. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. La Vida Discount Pharmacy Inc can be contacted via phone (215) 427-1603, or through Assifuah, Patrick via phone (862) 215-3414.

Contact Information

Primary practice address
3204 Kensington Ave Fl 1 1St Fl Philadelphia PA 19134-1918
Phone: (215) 427-1603
Fax: (215) 427-3590
Website:
Map and Directions
Authorized official contact:
Name: Assifuah, Patrick
Phone: (862) 215-3414

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482534 Pennsylvania
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1154719524
LBN Legal business name La Vida Discount Pharmacy Inc
DBA Doing business as La Vida Discount Pharmacy
Authorized official Assifuah, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2015
Last updated Jul 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154719524 NPPES
Other 2149600 PK
MEDICAID 103007788 PK

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