Farmacia Del Pueblo INC
Pharmacy, Community/Retail Pharmacy in North Las Vegas, NV. Organization (NPI-2).
NPI number1083807069
StatusActive
Last updated in NPPESMay 22, 2012
Details
- NPI
- 1083807069
- Entity type
- Organization (NPI-2)
- Legal business name
- Farmacia Del Pueblo INC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2007
- Last updated
- May 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH02238 | NV | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Farmacia Del Pueblo (Doing Business As)
Practice location
2123 Civic Center DrNorth Las Vegas, NV 89030-6327
Phone 702-399-9477 · Fax 702-399-7570
Mailing address
2644 Kinghorn PlHenderson, NV 89044-8796
Phone 702-544-3998 · Fax 702-616-7087
Authorized official
Christopher Tyler
President
7025443998
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