Vidot RX LLC
Organization Active NPI Community/Retail Pharmacy · Arcibo, PR
NPI 1013034313 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1013034313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 15F0494 (PR)
- Legal business name
- VIDOT RX LLC
- Practice address
- 109 Centro Comercial Vista Azul
Arcibo, PR 00612 - Phone
- (787) 878-1800
- Fax
- (787) 878-8042
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Jacqueline Vidot, RPH
- Title
- Registered Pharmacist
- Phone
- (757) 346-7801
Practitioners 1
-
Jacqueline Vidot, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 15F0494 | PR | Yes |
| Institutional Pharmacy | 3336I0012X |
Addresses
Primary practice location
109 Centro Comercial Vista Azul
Arcibo, PR 00612
Mailing address
PO Box 140358
Arecibo, PR 00614-0358
Phone (787) 878-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038598900 | Medicaid | PR | |
| 2084401 | Other | PK |
Other names
- FARMACIA KEITHA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.