| NPI | 1467488148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NV PH01261) | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-10-25 |