Organization
CREDO PHARMACY LLC
Active
Organization
CREDO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL TATERA PH.D. (MANAGING MEMBER)
(702) 800-0400
Entity
Organization
Contact information
Practice address
8995 W FLAMINGO RD STE 120, LAS VEGAS, NV 89147-0441
(702) 800-4000
(702) 800-0488
Mailing address
8995 W FLAMINGO RD STE 120, LAS VEGAS, NV 89147-0441
(702) 800-4000
(702) 800-0488
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/31/2023
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