| NPI | 1669207049 |
|---|---|
| Doing Business As | AHCS WELL CARE LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | THOMAS P LAM VP Compliance And Risk Management 714-706-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |