Vida Drug Store & Pharmacy

LBN: Tdsm Inc
Vida Drug Store & Pharmacy is an health care organization with primary practice located at 437 N Euclid Ave Suite B, Ontario CA 91762-3456. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tdsm Inc can be contacted via phone (909) 983-0999, or through Eshak, Nariman via phone (909) 983-0999.

Contact Information

Primary practice address
437 N Euclid Ave Suite B Ontario CA 91762-3456
Phone: (909) 983-0999
Fax: (909) 983-0888
Website:
Map and Directions
Authorized official contact:
Name: Eshak, Nariman
Phone: (909) 983-0999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 49856 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093802514
LBN Legal business name Tdsm Inc
DBA Doing business as Vida Drug Store & Pharmacy
Authorized official Eshak, Nariman
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Dec 13th, 2022 - about 4 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 1093802514 NPPES
California MEDICAID 1093802514

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