| NPI | 1982142055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AGWARA Owner/Managing Member 702-678-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |