| NPI | 1497939284 |
|---|---|
| Doing Business As | LAS VEGAS OUTREACH CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE INGREY Pharmacist 775-888-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NV PH1212) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |