| NPI | 1427719038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CADGER Owner 702-444-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-01-19 |