| NPI | 1316135569 |
|---|---|
| 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 (Licence: CA PHY52510) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2018-09-20 |