| NPI | 1205986528 |
|---|---|
| Doing Business As | LAS VEGAS PAIUTE TRIBE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHARONA SOLEYMANI Phrm Mang 702-382-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-09-30 |