| NPI | 1447581913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EGHE JERRY IGBINOVIA Owner 702-595-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH02583) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NV PH02583) |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2010-01-23 |