Organization
SUNRISE MEDICAL PHARMACY
Active
Other names
h & b corporation
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN D LY PHARM D (PHARMACY MANAGER)
(702) 732-2334
Entity
Organization
Contact information
Practice address
3006 S MARYLAND PKWY STE 101, LAS VEGAS, NV 89109-2219
(702) 732-2334
(702) 369-3490
Mailing address
3006 S MARYLAND PKWY STE 101, LAS VEGAS, NV 89109-2219
(702) 732-2334
(702) 369-3490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2802008
—
NV
Enumeration date
09/20/2006
Last updated
08/22/2020
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