| NPI | 1366827834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVO MIRTCHEV Pharmacist 702-460-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA 60546634) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |