Organization
WAYNEFARGO ICARE LLC
Active
Other names
icare pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MINHQUANG NGUYEN RPH (OWNER)
(702) 321-2593
Entity
Organization
Contact information
Practice address
5595 SPRING MOUNTAIN RD STE A, LAS VEGAS, NV 89146-8863
(702) 478-8551
(702) 478-8559
Mailing address
5595 SPRING MOUNTAIN RD STE A, LAS VEGAS, NV 89146-8863
(702) 478-8551
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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