| NPI | 1184978405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LY Managing Member 702-944-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH02881) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |