Vidisa LLC
Vidisa LLC is a Pharmacy in Cle Elum, Washington. Licensed in Washington. Registered with an NPI since 2018.
- Licensed in
- WA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 W 1st StCle Elum, WA 98922-1515
Phone: (509) 852-0123
Fax: (509) 852-4567
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHAR.CF.6082533 (WA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1487156121 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Virginia Kelly — Owner/Partner · (509) 322-7097 |
| Other names | Cle Elum Pharmacy; Cle Elum Pharmacy |
| NPI enumerated | March 7, 2018 |
| Last updated in NPPES | August 12, 2021 |
| Certification date | August 12, 2021 |
| Mailing address | Po Box 871, Omak, WA 98841-0871 |
Other providers in Cle Elum
-
Cle Elum Drug
219 E 1st St, Cle Elum, WA 98922-1103 · (509) 674-2155