Organization
PINNACLE ABSOLUTE CARE LLC
Active
Other names
Atlantic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL KODJOE PHARMD (OWNER/MANAGING MEMBER)
(702) 241-9653
Entity
Organization
Contact information
Practice address
2815 W LAKE MEAD BLVD STE 109, NORTH LAS VEGAS, NV 89032-4900
(702) 847-6675
(702) 847-6656
Mailing address
2815 W LAKE MEAD BLVD STE 109, NORTH LAS VEGAS, NV 89032-4900
(702) 847-6675
(702) 847-6656
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548894397
—
NV
Enumeration date
03/02/2020
Last updated
05/15/2020
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