| NPI | 1528897220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANA MARIE RAMIREZ Chief Medical Officer 702-476-9436 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 208D00000X General Practice |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |