| NPI | 1659008910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY L CHIA Manager 702-476-5597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-03-16 |