| NPI | 1962773135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAI VO Owner/President 702-426-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH02774) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-03-29 |