| NPI | 1700208089 |
|---|---|
| Doing Business As | AEVA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BARBARA DEINET Member 702-558-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2019-05-10 |