| NPI | 1316531700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE ROBLES Member 702-505-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-09-07 |