| NPI | 1639195589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN REXFORD President 702-889-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NV PH1387) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |