| NPI | 1992145965 |
|---|---|
| Doing Business As | PHOENIX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JASMINE TA Pharmacy Manager 702-685-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV ph02973) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2014-10-24 |