NPI 1053866558 · live from the CMS NPI Registry
Ali Raza LLC
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1053866558, active.
NPI record
| NPI | 1053866558 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1131 E Tropicana Ave # A-1, Las Vegas, NV 89119 |
| Practice phone | 702-816-4277 |
| Enumerated | August 25, 2016 |
| Last updated | April 7, 2017 |
| Authorized official | Nureen Raza, Owner/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH03704 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.