| NPI | 1467861633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN WANG Pharmacy Manager 702-655-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NV 18790) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |