Organization
RAXO DRUG INC
Active
Other names
RAXO DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAF HASSEEBULLAH (OWNER)
(702) 219-0866
Entity
Organization
Contact information
Practice address
3199 S EASTERN AVE, LAS VEGAS, NV 89169-3308
(702) 369-9135
(702) 369-6920
Mailing address
3199 S EASTERN AVE, LAS VEGAS, NV 89169-3308
(702) 369-9135
(702) 369-6920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH01034
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050823
PK
—
Enumeration date
07/03/2008
Last updated
10/06/2014
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