| NPI | 1033434022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN TRUITT General Counsel 702-564-2079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH01713) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NV PH01713) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |