NPI 1417504382 · live from the CMS NPI Registry
Eglc LLC
Pharmacy in Las Vegas, NV. National Provider Identifier 1417504382, active.
NPI record
| NPI | 1417504382 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 6725 S Eastern Ave Ste 8, Las Vegas, NV 89119 |
| Practice phone | 702-444-0757 |
| Enumerated | August 24, 2019 |
| Last updated | August 24, 2019 |
| Authorized official | Clare-Lanie Macaraeg, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.