| NPI | 1255761128 |
|---|---|
| Doing Business As | FIDELIS SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WAGNER A LEMUS President 702-815-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH03042) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-09-20 |