| NPI | 1669795696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SALAZAR Pharmacy Manager/Owner 702-227-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH02588) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-05-20 |