NPI | 1750947677 |
---|---|
Doing Business As | SOUTHWEST SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN TRAN Owner/Pharmacist 702-929-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-05-16 |
Last Update Date | 2019-05-16 |