| NPI | 1801962907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL RAIMAN President 702-360-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH01993) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-03-11 |