NPI | 1306385877 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBENSON APIBO-TANGO Owner PIC 702-636-2054 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NV PH03689) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03689) | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2017-02-17 |
Last Update Date | 2023-01-16 |