| NPI | 1497597496 |
|---|---|
| Doing Business As | 986 PHARMACY #8021 |
| Entity Type | Organization |
| Authorized Contact | ROBERT OJEDA CEO 702-605-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |