Organization
CCDE, LLC
Active
Other names
Pahrump Wellness Pharmacy and Nutrition Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DAINE CURNUTT PHARMD (OWNER)
(702) 960-8640
Entity
Organization
Contact information
Practice address
2780 HOMESTEAD RD, PAHRUMP, NV 89048-5399
(702) 960-8640
Mailing address
PO BOX 6380, PAHRUMP, NV 89041-6380
(702) 960-8640
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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