| NPI | 1821792292 | 
|---|---|
| Doing Business As | AEVA SPECIALTY PHARMACY 2 | 
| Entity Type | Organization | 
| Authorized Contact | BARBARA DEINET President 702-558-2382  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2023-03-29 | 
| Last Update Date | 2023-03-29 |