NPI | 1033120522 |
---|---|
Doing Business As | ST GEORGE DISCOUNT PHARMACY |
Entity Type | Organization |
Authorized Contact | CALE BATT PIC 702-398-7416 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 70948791703) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2010-02-25 |