| NPI | 1285934588 |
|---|---|
| Doing Business As | MLK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIMA MOGHADAM Owner 702-272-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH02670) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2012-04-09 |