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Well Care Pharmacy I, LLC Series A

Pharmacist, Pharmacotherapy in Las Vegas, NV. Organization (NPI-2).

NPI number1295106987
StatusActive
Last updated in NPPESApr 17, 2024

Details

NPI
1295106987
Entity type
Organization (NPI-2)
Legal business name
Well Care Pharmacy I, LLC Series A
Organization subpart
No
Enumeration date
Oct 7, 2015
Certification date
Apr 1, 2024
Last updated
Apr 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P1200X Pharmacist, Pharmacotherapy––Yes
101YM0800X Counselor, Mental Health––
251S00000X Community/Behavioral Health––

Other names

  • Medtrans Behavioral Nevada Casal PLLC (Other Name)

Practice location

5446 Boulder Hwy Ste G3
Las Vegas, NV 89122-6069

Phone 702-291-7121

Mailing address

3312 W Charleston Blvd
Las Vegas, NV 89102-1829

Phone 702-410-7825 · Fax 702-946-0409

Other practice locations

3312 W Charleston Blvd
Las Vegas, NV 89102-1829

Phone 702-410-7825 · Fax 702-946-0409

Authorized official

Roya Beuokaghaei
Credentialing Manager
7024107825

Is something wrong?

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