OrganizationActive
Vida Pharmacy LLC
NPI 1609056035 · Long Term Care Pharmacy · Albuquerque, NM
Provider details
- NPI number
- 1609056035
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Annabel Roberts, Owner(505) 856-1660
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
8500 Jefferson St Ne
Ste D
Albuquerque, NM 87113-1883
Phone: (505) 856-1660
Fax: (505) 856-7141
Approximate (ZIP-level) locationGet directions
Mailing address
8500 Jefferson St Ne
Albuquerque, NM 87113-1883
Other names (DBA / former)
- Doing business as
- Vida Pharmacy LLC
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.