Organization
ATLAS HEALTHCARE
Active
Other names
Atlas Pharmacy And Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
OBIDIKE IHEANACHO PHARM.D (CHIEF PHARMACIST)
(702) 580-9863
Entity
Organization
Contact information
Practice address
3585 S MARYLAND PKWY STE J, LAS VEGAS, NV 89169-3031
(702) 580-9863
(725) 205-4926
Mailing address
3585 S MARYLAND PKWY STE J, LAS VEGAS, NV 89169-3031
(702) 580-9863
(725) 205-4926
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH04382
NVBOP
NV
Enumeration date
11/02/2021
Last updated
11/02/2021
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