Organization
PAC LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID BASHIR AHMED MD (GENERAL PARTNER)
(800) 610-6353
Entity
Organization
Contact information
Practice address
9465 W POST ROAD, SUITE 1068, LAS VEGAS, NV 89148-5786
(562) 587-6862
(866) 645-1202
Mailing address
PO BOX 401721, LAS VEGAS, NV 89140-1721
(800) 610-6353
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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