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 |