National Provider Identifier Database

VIDA PHARMACY LLC
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

VIDA PHARMACY LLC
8500 JEFFERSON ST NE
STE D
ALBUQUERQUE, NM87113-1883
Phone: 505-856-1660
Fax: 505-856-7141
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for VIDA PHARMACY LLC

NPI Number 1609056035
Legal business name
LBN
VIDA PHARMACY LLC
Authorized official ANNABEL ROBERTS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/14/2007
Last updated 12/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: PH00002980
  • Other: 2059025 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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