Organization Name: | LA VIDA PHARMACY INC |
NPI Number: | 1023354115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JITESH PATEL (OWNER, PHARMACIST) |
Mailing Address: | 455 E Main St East Dundee |
State: | IL US |
Postal Code: | 601181529 |
Phone Number: | 8475515379 |
Fax Number: | 2244848247 |
NPI Enumeration Date: | 12/18/2012 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0003X |
License Number: | 054.018817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Community/Retail Pharmacy |
Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |