| NPI | 1861938656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D PHIPPS Pharmacist In Charge / Owner 702-217-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NV PH03668) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: NV PH03668) |
| 333600000X Pharmacy (Licence: NV PH03668) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03668) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NV PH03668) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NV PH03668) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |