| NPI | 1770047391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ROBERTS General Manager 702-410-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2022-08-15 |