Organization
ASSURED PHARMACY LAS VEGAS INC
Active
Organization
ASSURED PHARMACY LAS VEGAS INC
Active
Other names
ASSURED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MUTTER (CHIEF TECH OFFICE)
(949) 222-9971
Entity
Organization
Contact information
Practice address
801 S RANCHO DR, STE E3A, LAS VEGAS, NV 89106-3854
(949) 222-9971
(949) 271-5580
Mailing address
17935 SKY PARK CIR, STE F, IRVINE, CA 92614-6321
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02283
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990718
OTHER ID NUMBER
—
Enumeration date
12/12/2007
Last updated
12/21/2007
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