Organization
WELLNESS PHARMACY LLC
Active
Other names
Wellness Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THAI VO (MANAGER)
(702) 912-1400
Entity
Organization
Contact information
Practice address
80 N PECOS RD STE I, HENDERSON, NV 89074-3379
(702) 912-1400
(702) 912-1401
Mailing address
80 N PECOS RD STE I, HENDERSON, NV 89074-3379
(702) 912-1400
(702) 912-1401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH03127
NV
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134541691
—
NV
01
—
2144307
PK
—
Enumeration date
01/17/2014
Last updated
07/19/2018
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