Vidisa Llc
Community/Retail Pharmacy
115 W 1st St, Cle Elum
Washington, 98922-1515
509-852-0123 509-852-4567
Vidisa Llc is a Community/Retail Pharmacy in Cle Elum, Washington. It is located at 115 W 1st St, Cle Elum and it's customer support contact number is 509-852-0123. The authorized person of Vidisa Llc is Virginia Kelly, DON'T CHANGE MY INFO who is Owner/partner of the pharmacy and his contact number is 509-322-7097. Active license number of Vidisa Llc is PHAR.CF.6082533 for Community/Retail Pharmacy in Washington.
Vidisa Llc is 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.
Pharmacy Details:
Vidisa Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Vidisa Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 115 W 1st St, Cle Elum,
Washington, 98922-1515 |
| Phone: | 509-852-0123 |
| Fax: | 509-852-4567 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Virginia Kelly |
| Credentials: | DON'T CHANGE MY INFO |
| Position: | Owner/partner |
| Contact Number: | 509-322-7097 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1487156121 |
| NPI Enumeration Date: | 07 Mar, 2018 |
| NPI Last Update On: | 12 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vidisa Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHAR.CF.6082533 | Washington | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2099187 | Medicaid | Washington | |
| 2176385 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 871,
Omak, Washington |
| Zip: | 98841-0871 |
| Phone Number: | 509-322-7097 |
Patients can reach Vidisa Llc at
115 W 1st St, Cle Elum, Washington or can
call on customer care at 509-852-0123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.