| NPI | 1083683874 | 
|---|---|
| Other Name | CAMPUS PHARMACY III | 
| Entity Type | Organization | 
| Authorized Contact | KENNETH J. RYAN Pharmacist/Manager 702-968-4038  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy (Licence: NV PH1189)  | 
| Enumeration Date | 2006-03-15 | 
| Last Update Date | 2010-10-05 |