NPI 1104009182 · live from the CMS NPI Registry
Assured Pharmacy Las Vegas INC
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1104009182, active.
NPI record
| NPI | 1104009182 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 801 S Rancho Dr, Ste E3a, Las Vegas, NV 89106 |
| Practice phone | 949-222-9971 |
| Mailing address | 17935 Sky Park Cir, Ste F, Irvine, CA 92614 |
| Enumerated | December 12, 2007 |
| Last updated | December 21, 2007 |
| Authorized official | Eric Mutter, Chief Tech Office |
| Other names | Assured Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH02283 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.