Organization
ALI RAZA LLC
Active
Organization
ALI RAZA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUREEN RAZA (OWNER/MANAGER)
(702) 816-4277
Entity
Organization
Contact information
Practice address
1131 E TROPICANA AVE # A-1, LAS VEGAS, NV 89119-6601
(702) 816-4277
(702) 816-5469
Mailing address
1131 E TROPICANA AVE # A-1, LAS VEGAS, NV 89119-6601
(702) 816-4277
(702) 816-5469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03704
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166298
PK
—
Enumeration date
08/25/2016
Last updated
04/07/2017
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