| NPI | 1841786415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN EDOUARD C.E.O. 702-832-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NV 19462) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NV 19462) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2019-04-12 |