<Unavail>

LBN: Vida Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 8500 Jefferson St Ne Ste D, Albuquerque NM 87113-1883. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Vida Pharmacy Llc can be contacted via phone (505) 856-1660, or through Roberts, Annabel via phone (505) 856-1660.

Contact Information

Primary practice address
8500 Jefferson St Ne Ste D Albuquerque NM 87113-1883
Phone: (505) 856-1660
Fax: (505) 856-7141
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Annabel PHARMD
Phone: (505) 856-1660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH00002980 New Mexico

Profile Details

NPI number 1609056035
LBN Legal business name Vida Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Roberts, Annabel PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Dec 3rd, 2020 - about 6 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 1609056035 NPPES
Other 2059025 PK

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