Organization
MONICOS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE ROBLES (MEMBER)
(702) 505-4898
Entity
Organization
Contact information
Practice address
2701 N TENAYA WAY STE 120, LAS VEGAS, NV 89128-0479
(702) 505-4898
(702) 505-4899
Mailing address
2701 N TENAYA WAY STE 120, LAS VEGAS, NV 89128-0479
(702) 505-4898
(702) 505-4899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH04309
NEVADA BOARD OF PHARMACY
NV
Enumeration date
02/25/2021
Last updated
09/07/2021
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