Family Medical Pharmacy, LLC
Pharmacy, Community/Retail Pharmacy in North Las Vegas, NV. Organization (NPI-2).
NPI number1962265769
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1962265769
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medical Pharmacy, LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
1825 Civic Center DrNorth Las Vegas, NV 89030-7113
Phone 312-545-3805
Mailing address
1825 Civic Center DrNorth Las Vegas, NV 89030-7113
Phone 312-545-3805
Authorized official
Karl Stephen Villaluz
Owner/Managing Pharmacist
3125453805
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