| NPI | 1306272596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY PRIEVO Pharmacy Disctrict Manager 702-889-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 18575) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |