Organization
PHAMS SIN CITY CARE LTD
Active
Other names
Ace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PHAM (PRESIDENT)
(702) 275-7733
Entity
Organization
Contact information
Practice address
6085 S FORT APACHE RD STE 160, LAS VEGAS, NV 89148-5546
(702) 675-3050
(702) 675-3053
Mailing address
6085 S FORT APACHE RD, SUITE 160, LAS VEGAS, NV 89148-5545
(702) 675-3050
(702) 675-3053
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02745
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2992851
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/07/2011
Last updated
01/30/2012
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