NPI 1194140152 · live from the CMS NPI Registry
A Pharmacy
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1194140152, active.
NPI record
| NPI | 1194140152 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4592 Spring Mountain Rd, Las Vegas, NV 89102 |
| Practice phone | 702-646-1100 |
| Enumerated | February 27, 2014 |
| Last updated | February 27, 2014 |
| Authorized official | An Ha, Rph/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH02381 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.