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Organization
ULTRACARE PHARMACY, INC
Active
Organization
ULTRACARE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TIONGSON BATUNGBACAL (MANAGER)
(702) 597-0518
Entity
Organization
Contact information
Practice address
2545 CHANDLER AVE STE 11, LAS VEGAS, NV 89120-4008
(702) 597-0518
(702) 597-0519
Mailing address
2545 CHANDLER AVE STE 11, LAS VEGAS, NV 89120-4008
(702) 597-0518
(702) 597-0519
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NV
332BN1400X
Nursing Facility Supplies (DME)
—
NV
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
12/14/2006
Last updated
09/11/2025
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