| NPI | 1023380219 |
|---|---|
| Doing Business As | KEN'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KENNETH HEATON President 702-384-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NV PH02759) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2017-01-18 |