| NPI | 1104330059 |
|---|---|
| Doing Business As | MESQUITE PHARMACY AND MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL KODJOE Owner/Managing Pharmacist 702-346-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03818) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |