| NPI | 1023242559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EGHE JERRY IGBINOVIA Pharmacist 702-597-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NV PH02176) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |