Organization
ADVANCED CARE RX PHARMACY 1, LLC
Active
Other names
QHR Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOLIH OJONG OROCK PHARMD (MANAGING OFFICER)
(702) 331-6796
Entity
Organization
Contact information
Practice address
7512 WESTCLIFF DR, LAS VEGAS, NV 89145-5175
(702) 331-6796
(702) 629-7130
Mailing address
7512 WESTCLIFF DR, LAS VEGAS, NV 89145-5175
(702) 331-6796
(702) 629-7130
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02656
NV
3336C0004X
Compounding Pharmacy
PH02656
NV
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639479165
—
NV
Enumeration date
11/01/2010
Last updated
02/05/2022
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