| NPI | 1366988206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASSIMO CAVALLARO Owner 702-203-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH03672) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-02-20 |