| NPI | 1376039149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PETERS Owner 702-245-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2018021047) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |