| NPI | 1588917447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOGAN PETERS Owner 702-203-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP0000689-C) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |