Organization
KCKLG LLC
Active
Other names
Bliss Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAYLANI MACARAEG (OWNER)
(702) 374-7344
Entity
Organization
Contact information
Practice address
6496 MEDICAL CENTER ST STE 101, LAS VEGAS, NV 89148-2409
(702) 749-7404
(702) 749-7414
Mailing address
6496 MEDICAL CENTER ST STE 101, LAS VEGAS, NV 89148-2409
(702) 749-7404
(702) 749-7414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
06/17/2020
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