| NPI | 1376088849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA KOROGHLI Owner, PIC, AO 702-335-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03671) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-03-17 |