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Contact Information

VIDOT RX LLC
109 CENTRO COMERCIAL VISTA AZUL
ARCIBO, PR00612
 Phone: 787-878-1800
 Fax: 787-878-8042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VIDOT RX LLC

NPI Number 1013034313
LBN Legal business name VIDOT RX LLC
Authorized official JACQUELINE VIDOT - (REGISTERED PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 06/02/2021 - About 5 years ago
Identifiers
PR License # 15F0494
PR Medicaid 038598900
Other 2084401 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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