<Unavail>

LBN: La Vida Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 455 E Main St , East Dundee IL 60118-1529. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. La Vida Pharmacy Inc can be contacted via phone (847) 551-5379, or through Patel, Jitesh via phone (847) 551-5379.

Contact Information

Primary practice address
455 E Main St East Dundee IL 60118-1529
Phone: (847) 551-5379
Fax: (224) 484-8247
Website:
Map and Directions
Authorized official contact:
Name: Patel, Jitesh RPH
Phone: (847) 551-5379

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054.018817 Illinois

Profile Details

NPI number 1023354115
LBN Legal business name La Vida Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Patel, Jitesh RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2012
Last updated Mar 1st, 2017 - about 9 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 1023354115 NPPES
Other 2138271 PK

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