Organization
ATLAS SPECIALTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON M MWANGI PHARMD (DIRECTOR)
(702) 744-8060
Entity
Organization
Contact information
Practice address
301 N PECOS RD STE D, HENDERSON, NV 89074-1350
(702) 744-8060
Mailing address
301 N PECOS RD STE D, HENDERSON, NV 89074-1350
(702) 744-8060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH03217
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH03217
NEVADA BOARD OF PHARMACY
NV
Enumeration date
11/26/2014
Last updated
11/26/2014
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