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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