| NPI | 1912042201 |
|---|---|
| Doing Business As | NEVADA DRUG COMPOUNDING PHARMACY EAST |
| Entity Type | Organization |
| Authorized Contact | AMANDA WILLIAMS Administration Assistant 702-564-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NV PH01713) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-02-22 |