| NPI | 1639671324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE-LANIE GUERRERO MACARAEG Owner 702-750-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-10-22 |