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Organization
ACRX SPECIALTY PHARMACY
Active
Organization
ACRX SPECIALTY PHARMACY
Active
Other names
ACRX SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EGHOMWARE IGBINOVIA (OWNER)
(702) 800-6448
Entity
Organization
Contact information
Practice address
3200 SOARING GULLS DR STE 101, LAS VEGAS, NV 89129-2198
(702) 800-6448
Mailing address
3200 SOARING GULLS DR, SUITE 101, LAS VEGAS, NV 89129-2198
(702) 800-6448
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH03673
NV
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167202
PK
—
Enumeration date
01/24/2017
Last updated
01/24/2017
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