| NPI | 1063742302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GETAHUN ESHETIE Manager 702-474-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |