| NPI | 1154451193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW OSAYAREN Chief Pharmacist 702-492-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |